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1366978017
EZMERALDA CANTU
SAN LUIS OBISPO, CA
NPI
1366978017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
-- EZMERALDA CANTU
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
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Mailing Address
-- EZMERALDA CANTU
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-781-4712
Copy
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