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1609181676
GERRY B HORTILLOSA
SAN LUIS OBISPO, CA
NPI
1609181676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-08-13
Last Update Date
2010-08-13
Business Address
Mr. GERRY B HORTILLOSA
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-788-2524
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Mailing Address
Mr. GERRY B HORTILLOSA
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-788-2524
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