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1144287681
VINCENT M BOURNIQUE
INDIANAPOLIS, IN
NPI
1144287681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN 01029804A)
Enumeration Date
2006-04-27
Last Update Date
2017-01-18
Business Address
-- VINCENT M BOURNIQUE MD
8075 N SHADELAND AVE #350
INDIANAPOLIS, IN 46250-2693
Phone number: 317-678-3900
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Mailing Address
-- VINCENT M BOURNIQUE MD
1600 S 20TH AVE #350
SAFFORD, AZ 85546-4011
Phone number: 928-348-4037
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