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1912725607
JESSICA DAVIS KELLOGG
SAN LUIS OBISPO, CA
NPI
1912725607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
JESSICA DAVIS KELLOGG
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
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Mailing Address
JESSICA DAVIS KELLOGG
PO BOX 15408
SAN LUIS OBISPO, CA 93406-5408
Phone number: 805-540-6500
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