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1932216264
VICKI L CHARBONNEAU
SAN LUIS OBISPO, CA
NPI
1932216264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 9600)
Enumeration Date
2006-08-24
Last Update Date
2015-09-16
Business Address
-- VICKI L CHARBONNEAU NP, CNM
35 CASA STREET SUITE 220
SAN LUIS OBISPO, CA 93405-1890
Phone number: 805-786-4111
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Mailing Address
-- VICKI L CHARBONNEAU NP, CNM
117 WEST BUNNY AVENUE
SANTA MARIA, CA 93458-2805
Phone number: 805-739-3474
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