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1770160780
NICOLAS JACK BOUEY
SACRAMENTO, CA
NPI
1770160780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A194336)
Enumeration Date
2021-03-25
Last Update Date
2024-08-21
Business Address
NICOLAS JACK BOUEY
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 916-734-2011
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Mailing Address
NICOLAS JACK BOUEY
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 916-734-2011
Copy
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