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1497123517
SHADY BOULES
SAN DIEGO, CA
NPI
1497123517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95027745)
Enumeration Date
2015-09-04
Last Update Date
2015-09-04
Business Address
SHADY BOULES RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8228
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Mailing Address
SHADY BOULES RN
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number:
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