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1891022778
MYRIAM BOUTARY
TORRANCE, CA
NPI
1891022778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 19222)
Enumeration Date
2009-11-12
Last Update Date
2020-10-05
Business Address
MYRIAM BOUTARY
4235 PACIFIC COAST HWY
TORRANCE, CA 90505-5525
Phone number: 866-389-2727
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Mailing Address
MYRIAM BOUTARY
19952 FELCLIFF LN
HUNTINGTON BEACH, CA 92646-3925
Phone number: 714-309-7766
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