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1326677873
TIFFANIE BOURGEOIS
METAIRIE, LA
NPI
1326677873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA 207715)
Enumeration Date
2020-04-06
Last Update Date
2020-04-06
Business Address
TIFFANIE BOURGEOIS NP-C
2450 SEVERN AVE STE 315
METAIRIE, LA 70001-6949
Phone number: 504-834-1655
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Mailing Address
TIFFANIE BOURGEOIS NP-C
203 REMY DR
LA PLACE, LA 70068-5932
Phone number: 985-212-9604
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