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1558718072
MICHAEL RODGERS
SAN LUIS OBISPO, CA
NPI
1558718072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 71140)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
-- MICHAEL RODGERS
3000 AUGUSTA ST APT 152
SAN LUIS OBISPO, CA 93401-5836
Phone number: 805-602-6719
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Mailing Address
-- MICHAEL RODGERS
3000 AUGUSTA ST APT 152
SAN LUIS OBISPO, CA 93401-5836
Phone number: 805-602-6719
Copy
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