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1760937205
MICHAEL EDWARD KUDRNA
SAN LUIS OBISPO, CA
NPI
1760937205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-24
Last Update Date
2021-04-16
Business Address
MICHAEL EDWARD KUDRNA CATC-III
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-788-2159
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Mailing Address
MICHAEL EDWARD KUDRNA CATC-III
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-788-2159
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