CARLY BOURGEOIS

ZACHARY, LA
NPI1154095479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  328269)
Enumeration Date2021-08-02
Last Update Date2021-08-02
Business Address
CARLY BOURGEOIS
6300 MAIN ST
ZACHARY, LA 70791-4037
Phone number: 225-765-7163
Mailing Address
CARLY BOURGEOIS
6300 MAIN ST
ZACHARY, LA 70791-4037
Phone number: 225-765-7163
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