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1427263581
MIKE BALL
SAN LUIS OBISPO, CA
NPI
1427263581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA PT 28939)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Mr. MIKE BALL MS
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-788-2034
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Mailing Address
Mr. MIKE BALL MS
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4535
Phone number: 805-788-2034
Copy
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