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Individual
JONATHAN G SABOURIN
Active
Individual
JONATHAN G SABOURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM00316
RI
213ES0103X
Foot & Ankle Surgery Podiatrist
2210
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
DPM00316
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212867
BLUE CROSS BLUE SHIELD
RI
01
—
411583
BLUE CHIP
RI
05
—
7056541
—
RI
Enumeration date
04/08/2006
Last updated
06/16/2018
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