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1619918570
CAROL SUE FUENTES
SAN LUIS OBISPO, CA
NPI
1619918570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA pa15472)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
Ms. CAROL SUE FUENTES MS PA-C
1288 MORRO ST
SAN LUIS OBISPO, CA 93401-6301
Phone number: 805-543-1233
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Mailing Address
Ms. CAROL SUE FUENTES MS PA-C
1288 MORRO ST
SAN LUIS OBISPO, CA 93401-6302
Phone number: 805-543-1233
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