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1821754979
KAITLYN ELIZABETH FAKOURI
SACRAMENTO, CA
NPI
1821754979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95019130)
Enumeration Date
2021-11-12
Last Update Date
2022-12-29
Business Address
KAITLYN ELIZABETH FAKOURI FNP-C
3441 MARYSVILLE BLVD
SACRAMENTO, CA 95838-4512
Phone number: 916-737-5555
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Mailing Address
KAITLYN ELIZABETH FAKOURI FNP-C
11776 PLATO WAY
RANCHO CORDOVA, CA 95742-8107
Phone number: 225-333-0806
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