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1316622251
MARY BOURANG
REDLANDS, CA
NPI
1316622251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 2023033598)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
MARY BOURANG FNP
1473 FORD ST STE 104
REDLANDS, CA 92373-3915
Phone number: 909-307-1250
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Mailing Address
MARY BOURANG FNP
2108 COLLETT AVE UNIT 406
CORONA, CA 92879-8655
Phone number: 209-262-8022
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