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1861127011
TONYA LEIGH DEROSE
SAN LUIS OBISPO, CA
NPI
1861127011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
TONYA LEIGH DEROSE
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
TONYA LEIGH DEROSE
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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