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1215148929
CARRIE ANN BLACK BOURASSA
SAINT PAUL, MN
NPI
1215148929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation
(Licence: MN 2276)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Ms. CARRIE ANN BLACK BOURASSA RRT
225 SMITH AVE N STE 301
SAINT PAUL, MN 55102-2534
Phone number: 651-288-5180
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Mailing Address
Ms. CARRIE ANN BLACK BOURASSA RRT
25 MORNINGSIDE DR
SAINT PAUL, MN 55119-5006
Phone number: 651-730-0535
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