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1386897379
MICHELLE BOURGEOIS
FRESH MEADOWS, NY
NPI
1386897379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 005056-1)
Enumeration Date
2008-11-04
Last Update Date
2008-11-04
Business Address
-- MICHELLE BOURGEOIS PT
6725 188TH ST
FRESH MEADOWS, NY 11365-3767
Phone number: 718-454-6460
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Mailing Address
-- MICHELLE BOURGEOIS PT
1473 164TH ST
WHITESTONE, NY 11357-2945
Phone number: 718-767-4934
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