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1447269634
SANDY BOURGEOIS
ALTUS, OK
NPI
1447269634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2833)
Enumeration Date
2006-08-05
Last Update Date
2013-05-06
Business Address
-- SANDY BOURGEOIS LPC
120 W BROADWAY ST
ALTUS, OK 73521-3802
Phone number: 580-471-0885
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Mailing Address
-- SANDY BOURGEOIS LPC
120 W BROADWAY ST
ALTUS, OK 73521-3802
Phone number: 580-471-0885
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