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Individual

MISS CONNIE LOUISE AHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 540-8008
Mailing address
2875 BIRCH AVE, MORRO BAY, CA 93442-1505
(805) 548-9339

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/10/2007
Last updated
07/08/2007
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