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1255909602
DAVID ANTHONY BOURGEOIS
LAFAYETTE, LA
NPI
1255909602
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 220360)
Enumeration Date
2021-06-14
Last Update Date
2021-08-02
Business Address
DAVID ANTHONY BOURGEOIS APRN,FNP-C
315 RUE LOUIS XIV
LAFAYETTE, LA 70508-5734
Phone number: 337-269-9777
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Mailing Address
DAVID ANTHONY BOURGEOIS APRN,FNP-C
213 RUE FONTAINE
LAFAYETTE, LA 70508-5742
Phone number: 337-269-9777
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