KEELY BOURASSA

TERRE HAUTE, IN
NPI1417643149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37003359A)
Enumeration Date2023-04-14
Last Update Date2023-04-21
Business Address
KEELY BOURASSA RD
1200 S CENTER ST
TERRE HAUTE, IN 47802-1118
Phone number: 317-753-7308
Mailing Address
KEELY BOURASSA RD
1200 S CENTER ST
TERRE HAUTE, IN 47802-1118
Phone number: 317-753-7308