JERRY JOSEPH BOURASSA

PRESCOTT, AZ
NPI1376721779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: AZ  1370)
Enumeration Date2008-02-07
Last Update Date2008-02-07
Business Address
-- JERRY JOSEPH BOURASSA Physical Therapsit
146 S GRANITE ST
PRESCOTT, AZ 86303-4710
Phone number: 928-717-3236
Mailing Address
-- JERRY JOSEPH BOURASSA Physical Therapsit
146 S GRANITE ST
PRESCOTT, AZ 86303-4710
Phone number: 928-717-3236
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