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1407269400
REBECCA BOURGEOIS
UTICA, NY
NPI
1407269400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY 346512)
Enumeration Date
2014-06-06
Last Update Date
2020-10-14
Business Address
REBECCA BOURGEOIS RN
1903 SUNSET AVE
UTICA, NY 13502-5617
Phone number: 315-624-8150
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Mailing Address
REBECCA BOURGEOIS RN
2209 GENESEE ST BUSINESS OFFICE
UTICA, NY 13501-5930
Phone number: 315-801-4238
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