NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1801294749 | BAUER | CHRISTOPHER | RYAN |   | 2178 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014535 |
1285031740 | COUCH | MADELEINE |   |   | 2178 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014535 |
1649685777 | ISON | SHAWN | LYNN |   | 2178 JOHNSON AVE | SAN LUIS OBISPO | CA | 93401 |
1548619679 | MATTHEWS | VICKI | MARIE |   | 2180 JOHNSON AVE | SAN LUIS OBISPO | CA | 934014513 |