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1548453400
ANGELA ADELE VASTA
SAN LUIS OBISPO, CA
NPI
1548453400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 561980)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
-- ANGELA ADELE VASTA RN, PHN
3183 DUNCAN LN
SAN LUIS OBISPO, CA 93401-6781
Phone number: 805-788-2144
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Mailing Address
-- ANGELA ADELE VASTA RN, PHN
PO BOX 1489
SAN LUIS OBISPO, CA 93406-1489
Phone number: 805-788-2144
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