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1801492442
LAURA BOUWSMA
SANTA CRUZ, CA
NPI
1801492442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 59298)
Enumeration Date
2020-12-09
Last Update Date
2022-06-08
Business Address
LAURA BOUWSMA
250 LOCUST ST
SANTA CRUZ, CA 95060-3813
Phone number: 831-427-3500
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Mailing Address
LAURA BOUWSMA
PO BOX 542
SANTA CRUZ, CA 95061-0542
Phone number: 831-427-3500
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