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1124484183
MARLON BOURQUE
VIDALIA, LA
NPI
1124484183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-06
Last Update Date
2019-05-07
Business Address
MARLON BOURQUE
1109 CARTER ST SUITE 10
VIDALIA, LA 71373-3227
Phone number: 318-336-4700
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Mailing Address
MARLON BOURQUE
1109 CARTER ST SUITE 10
VIDALIA, LA 71373-3227
Phone number: 318-336-4700
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