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1174232193
ELIZABETH A BOURG
BATON ROUGE, LA
NPI
1174232193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA 011768899)
Enumeration Date
2022-11-17
Last Update Date
2022-11-17
Business Address
ELIZABETH A BOURG
7932 SUMMA AVE STE B2
BATON ROUGE, LA 70809-3736
Phone number: 225-349-7171
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Mailing Address
ELIZABETH A BOURG
5850 GRANITE PKWY STE 600
PLANO, TX 75024-6753
Phone number:
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