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1639785561
NICHOLAS GRANT THOMAS BOUGHTON
TRIPLER ARMY MEDICAL CENTER, HI
NPI
1639785561
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Other Name
NICHOLAS GRANT BOUGHTON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-09-16
Last Update Date
2023-07-20
Business Address
NICHOLAS GRANT THOMAS BOUGHTON PA-C
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Phone number: 808-433-6661
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Mailing Address
NICHOLAS GRANT THOMAS BOUGHTON PA-C
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Phone number: 808-433-6661
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