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1285747642
KRISTIN ELIZABETH BOURQUE
MACON, GA
NPI
1285747642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Ms. KRISTIN ELIZABETH BOURQUE ATC
1400 COLEMAN AVE MERCER UNIVERSITY ATHLETIC DEPARTMENT
MACON, GA 31207-0001
Phone number: 443-745-3741
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Mailing Address
Ms. KRISTIN ELIZABETH BOURQUE ATC
1400 COLEMAN AVE MERCER UNIVERSITY ATHLETIC DEPARTMENT
MACON, GA 31207-0001
Phone number: 443-745-3741
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