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1841425279
JODY A BOUMA
UPLAND, CA
NPI
1841425279
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 17316)
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- JODY A BOUMA N.P.
1113 ALTA AVE STE 220
UPLAND, CA 91786-2803
Phone number: 909-985-1908
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Mailing Address
-- JODY A BOUMA N.P.
1113 ALTA AVE STE 220
UPLAND, CA 91786-2803
Phone number: 909-985-1908
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