ALEX JOHN DETURCK

SAN LUIS OBISPO, CA
NPI1952061152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2021-12-29
Last Update Date2023-04-20
Business Address
ALEX JOHN DETURCK
1255 KENDALL RD
SAN LUIS OBISPO, CA 93401-8750
Phone number: 805-781-3535
Mailing Address
ALEX JOHN DETURCK
1117 VISTA DEL LAGO
SAN LUIS OBISPO, CA 93405-4832
Phone number: 650-474-1266
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