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1386611911
JODIE MARIE DUHON BOURQUE
LAFAYETTE, LA
NPI
1386611911
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Former Name
JODIE DUHON VEGA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP07321)
Enumeration Date
2006-03-02
Last Update Date
2022-07-21
Business Address
-- JODIE MARIE DUHON BOURQUE CRNA
1103 KALISTE SALOOM RD
LAFAYETTE, LA 70508-5783
Phone number: 337-988-5646
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Mailing Address
-- JODIE MARIE DUHON BOURQUE CRNA
1103 KALISTE SALOOM RD
LAFAYETTE, LA 70508-5783
Phone number: 337-988-5646
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