KENRICK CARLYLE BOURNE

SAN JACINTO, CA
NPI1063690931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12018)
Enumeration Date2008-02-04
Last Update Date2024-10-04
Business Address
Mr. KENRICK CARLYLE BOURNE PA-C
1695 S SAN JACINTO AVE STE C
SAN JACINTO, CA 92583-5103
Phone number: 951-330-3100
Mailing Address
Mr. KENRICK CARLYLE BOURNE PA-C
1695 S SAN JACINTO AVE
SAN JACINTO, CA 92583-5103
Phone number: 951-330-3100
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