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Individual
KATHLEEN CLARK SABOURAULT
Active
Individual
KATHLEEN CLARK SABOURAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
9388260
FL
363LF0000X
Family Nurse Practitioner
Primary
11040919
FL
Other
Enumeration date
12/31/2025
Last updated
08/04/2026
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