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Individual

KARI LYNN BOUTTE'

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2125 N OLIVE AVE, TURLOCK, CA 95382-1947
(209) 969-1967
Mailing address
P. O. BOX 1701, MODESTO, CA 95353-1701

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
05/21/2025
Last updated
05/21/2025
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