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1841273497
COLLEEN SKY BAUCOM-PRO
SACRAMENTO, CA
NPI
1841273497
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Former Name
COLLEEN SKY BAUCOM-SLAVIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 944951)
Enumeration Date
2005-11-28
Last Update Date
2007-07-08
Business Address
-- COLLEEN SKY BAUCOM-PRO RD
2221 STOCKTON BLVD 3RD FLOOR
SACRAMENTO, CA 95817-1418
Phone number: 916-734-7260
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Mailing Address
-- COLLEEN SKY BAUCOM-PRO RD
2039 ALTA LOMA ST
DAVIS, CA 95616-0713
Phone number: 916-233-6110
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