CARRIE ANN BLACK BOURASSA

SAINT PAUL, MN
NPI1215148929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2279P1005X Respiratory Therapist, Registered, Pulmonary Rehabilitation
(Licence: MN  2276)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Ms. CARRIE ANN BLACK BOURASSA RRT
225 SMITH AVE N STE 301
SAINT PAUL, MN 55102-2534
Phone number: 651-288-5180
Mailing Address
Ms. CARRIE ANN BLACK BOURASSA RRT
25 MORNINGSIDE DR
SAINT PAUL, MN 55119-5006
Phone number: 651-730-0535