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1013978659
REGINA BOURGEOIS
COVINGTON, LA
NPI
1013978659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA RN033764)
Enumeration Date
2006-03-31
Last Update Date
2009-10-30
Business Address
-- REGINA BOURGEOIS CRNA
1202 S TYLER ST
COVINGTON, LA 70433-2330
Phone number: 985-898-4000
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Mailing Address
-- REGINA BOURGEOIS CRNA
120 INNWOOD DR
COVINGTON, LA 70433-9123
Phone number: 985-892-3225
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