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1184846792
DONNA LOUISE BOURQUE
LAKE CHARLES, LA
NPI
1184846792
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 78482)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
Ms. DONNA LOUISE BOURQUE RN
801 W BAYOU PINES DR
LAKE CHARLES, LA 70601-7076
Phone number: 337-439-3205
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Mailing Address
Ms. DONNA LOUISE BOURQUE RN
280 QUARTER HORSE LN
SINGER, LA 70660-3546
Phone number: 337-786-3245
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