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1962676775
CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
SAN LUIS OBISPO, CA
NPI
1962676775
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Entity Type
Organization
Authorized Contact
DANNY LEROY LICKNESS
President
805-544-8811
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2008-04-14
Last Update Date
2010-06-25
Business Address
CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
35 CASA STREET SUITE 220
SAN LUIS OBISPO, CA 93405-1890
Phone number: 805-548-0775
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Mailing Address
CENTRAL COAST OBSTETRICS & GYNECOLOGY, INC.
100 CASA STREET SUITE B
SAN LUIS OBISPO, CA 93405-1893
Phone number: 805-548-0775
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