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1104590660
KIMBERLY C BOURASSA
BLOOMINGTON, MN
NPI
1104590660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MN 9071)
Enumeration Date
2021-08-06
Last Update Date
2023-10-30
Business Address
KIMBERLY C BOURASSA DNP, APRN, PMHNP-BC
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425-1232
Phone number: 952-767-2267
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Mailing Address
KIMBERLY C BOURASSA DNP, APRN, PMHNP-BC
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425-1232
Phone number:
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