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1164409348
JEFFERY R BOURGERIE
MEDFORD, WI
NPI
1164409348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WI 2228)
Enumeration Date
2005-12-28
Last Update Date
2023-03-07
Business Address
-- JEFFERY R BOURGERIE O.D.
309 E BROADWAY AVE
MEDFORD, WI 54451-1835
Phone number: 715-748-2020
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Mailing Address
-- JEFFERY R BOURGERIE O.D.
309 E BROADWAY AVE P.O. BOX 547
MEDFORD, WI 54451-1835
Phone number: 715-748-2020
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