RUSSELL A BOURNE

JUPITER, FL
NPI1134166762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: FL  PY5579)
Enumeration Date2006-06-01
Last Update Date2007-07-08
Business Address
-- RUSSELL A BOURNE Ph.D.
1025 MILITARY TRL SUITE 113
JUPITER, FL 33458-7040
Phone number: 561-748-2889
Mailing Address
-- RUSSELL A BOURNE Ph.D.
35 OCEAN DR
TEQUESTA, FL 33469-3512
Phone number: 561-748-2889
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