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1831433119
COURTNEY LEIGH BOUCKE
GRASS VALLEY, CA
NPI
1831433119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 20879)
Enumeration Date
2012-11-26
Last Update Date
2024-10-16
Business Address
COURTNEY LEIGH BOUCKE N.P.
300 SIERRA COLLEGE DR STE 105
GRASS VALLEY, CA 95945-5084
Phone number: 530-273-3377
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Mailing Address
COURTNEY LEIGH BOUCKE N.P.
300 SIERRA COLLEGE DR STE 105
GRASS VALLEY, CA 95945-5084
Phone number: 530-273-3377
Copy
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