MITCHELL ALLEN BOUSSON

MODESTO, CA
NPI1710748488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95273030)
Enumeration Date2024-01-19
Last Update Date2024-01-19
Business Address
Mr. MITCHELL ALLEN BOUSSON
500 N 9TH ST
MODESTO, CA 95350-5814
Phone number: 209-558-4598
Mailing Address
Mr. MITCHELL ALLEN BOUSSON
900 N 9TH ST
MODESTO, CA 95350-4723
Phone number: 209-558-4598
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