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1871244483
JESSICA NOEL, BOHDANA MOODY
SAN LUIS OBISPO, CA
NPI
1871244483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2022-01-14
Last Update Date
2024-02-05
Business Address
JESSICA NOEL, BOHDANA MOODY
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
JESSICA NOEL, BOHDANA MOODY
PO BOX 15408
SN LUIS OBISP, CA 93406-5408
Phone number: 805-540-6500
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