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Individual

MRS. GOUNI LAKOSO BOURAIMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
335 S OCOTILLO AVE, BENSON, AZ 85602-6406
(520) 586-4040
Mailing address
335 S OCOTILLO AVE, BENSON, AZ 85602-6406
(520) 586-4040

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
258158
AZ

Other

Enumeration date
05/26/2021
Last updated
01/25/2024
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