NICOLE BOUGHTON

SAN LUIS OBISPO, CA
NPI1902362817
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-02-15
Last Update Date2019-02-15
Business Address
NICOLE BOUGHTON
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4275
Mailing Address
NICOLE BOUGHTON
2348 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4539
Phone number: 805-748-2239
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