IRENE M. BOURGAULT DO PC

LAS VEGAS, NV
NPI1255511739
Entity TypeOrganization
Authorized ContactIRENE MARY BOURGAULT
Owner
702-648-6228
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NV  350)
Enumeration Date2007-11-13
Last Update Date2007-12-18
Business Address
IRENE M. BOURGAULT DO PC
3150 N TENAYA WAY STE 660
LAS VEGAS, NV 89128-0460
Phone number: 702-648-6228
Mailing Address
IRENE M. BOURGAULT DO PC
3150 N TENAYA WAY STE 660
LAS VEGAS, NV 89128-0460
Phone number: 702-648-6228
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