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1841866183
FREDRICK NYABAYO BOGONKO
ROSEVILLE, CA
NPI
1841866183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: CA 812434)
Enumeration Date
2021-05-27
Last Update Date
2021-05-27
Business Address
FREDRICK NYABAYO BOGONKO
1601 VINEYARD RD APT 1623
ROSEVILLE, CA 95747-9132
Phone number: 626-272-6174
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Mailing Address
FREDRICK NYABAYO BOGONKO
1601 VINEYARD RD APT 1623
ROSEVILLE, CA 95747-9132
Phone number: 626-272-6174
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