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1821817644
BERKELEY LOGAN WAYNE
SAN LUIS OBISPO, CA
NPI
1821817644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
BERKELEY LOGAN WAYNE
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
BERKELEY LOGAN WAYNE
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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