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1831376599
LISA C NIESEN
SAN LUIS OBISPO, CA
NPI
1831376599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-01-24
Last Update Date
2008-01-24
Business Address
-- LISA C NIESEN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-5593
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Mailing Address
-- LISA C NIESEN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4513
Phone number: 805-781-5593
Copy
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