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Individual

KATRINA JO BOLDUC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
61 5TH ST, TEMPLETON, CA 93465-5100
(805) 748-2939
(805) 256-7326
Mailing address
5150 OLMEDA AVE, ATASCADERO, CA 93422-3324
(805) 748-2939
(805) 265-7326

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
673
CA

Other

Enumeration date
11/05/2012
Last updated
04/26/2022
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