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1841301017
BEVERLY J FORD
SAN LUIS OBISPO, CA
NPI
1841301017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY17089)
Enumeration Date
2006-08-31
Last Update Date
2008-06-19
Business Address
Dr. BEVERLY J FORD PhD
1141 PACIFIC STREET SUITE F
SAN LUIS OBISPO, CA 93402
Phone number: 805-542-0100
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Mailing Address
Dr. BEVERLY J FORD PhD
793-A E FOOTHILL BLVD #115
SAN LUIS OBISPO, CA 93405-0115
Phone number: 805-542-0100
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