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1801923412
CHARLES EDWIN BOSTER
SAN LUIS OBISPO, CA
NPI
1801923412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
MR. CHARLES EDWIN BOSTER
277 SOUTH ST STE Y
SAN LUIS OBISPO, CA 93401-5039
Phone number: 805-541-5144
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Mailing Address
MR. CHARLES EDWIN BOSTER
514 BAKEMAN LN
ARROYO GRANDE, CA 93420-3755
Phone number:
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