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1306306717
BLAKE MICHAEL BOURGOYNE
BATON ROUGE, LA
NPI
1306306717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA 328464)
Enumeration Date
2019-03-21
Last Update Date
2023-06-22
Business Address
BLAKE MICHAEL BOURGOYNE MD
3401 NORTH BLVD STE 100
BATON ROUGE, LA 70806-3743
Phone number: 225-381-2621
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Mailing Address
BLAKE MICHAEL BOURGOYNE MD
7373 PERKINS RD
BATON ROUGE, LA 70808-4373
Phone number: 225-246-9790
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