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1497394837
AUSTIN PETERSEN
SAN LUIS OBISPO, CA
NPI
1497394837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-01-02
Last Update Date
2020-01-02
Business Address
Mr. AUSTIN PETERSEN
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401-8750
Phone number: 805-781-3535
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Mailing Address
Mr. AUSTIN PETERSEN
6088 MARSHALL WAY
SAN LUIS OBISPO, CA 93401-8264
Phone number: 805-602-6587
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