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1679656847
JEFFERY D ELLIOTT
SAN LUIS OBISPO, CA
NPI
1679656847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 12502)
Enumeration Date
2006-10-23
Last Update Date
2023-03-07
Business Address
-- JEFFERY D ELLIOTT NP
1551 BISHOP ST SUITE110/160
SAN LUIS OBISPO, CA 93401-4635
Phone number: 805-542-6729
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Mailing Address
-- JEFFERY D ELLIOTT NP
2050 S BLOSSER RD
SANTA MARIA, CA 93458-7310
Phone number: 805-361-8028
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