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1154613743
KATHERINE CHARLES GARDNER BOUGARD
HONOLULU, HI
NPI
1154613743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: HI RN 65553)
Enumeration Date
2011-05-13
Last Update Date
2011-05-13
Business Address
-- KATHERINE CHARLES GARDNER BOUGARD RN
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-547-4221
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Mailing Address
-- KATHERINE CHARLES GARDNER BOUGARD RN
1301 PUNCHBOWL ST
HONOLULU, HI 96813-2402
Phone number: 808-547-4221
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