JORGE GONZALES

SAN LUIS OBISPO, CA
NPI1659974848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  R1410931120)
Enumeration Date2020-11-19
Last Update Date2020-11-19
Business Address
JORGE GONZALES
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
Phone number: 805-781-4795
Mailing Address
JORGE GONZALES
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4971
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