Provider First Line Business Practice Location Address:
CALIFORNIA POLYTECHNIC STATE UNIVERSITY STUDENT HEALTH
Provider Second Line Business Practice Location Address:
1 GRAND AVE
Provider Business Practice Location Address City Name:
SAN LUIS OBISPO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93410-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-756-1211
Provider Business Practice Location Address Fax Number:
805-756-5298
Provider Enumeration Date:
10/27/2006