SHELLY BOLIVAR

SAN LUIS OBISPO, CA
NPI1407394711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  11341)
Enumeration Date2017-02-07
Last Update Date2017-02-07
Business Address
-- SHELLY BOLIVAR slp
1130 GROVE ST
SAN LUIS OBISPO, CA 93401-2914
Phone number: 805-543-3945
Mailing Address
-- SHELLY BOLIVAR slp
1130 GROVE ST
SAN LUIS OBISPO, CA 93401-2914
Phone number: 805-543-3945
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