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1477941011
JOHN BOURQUE
WAYNE, MI
NPI
1477941011
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Professional Name
DAVID JOHN BOURQUE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802060309)
Enumeration Date
2015-01-06
Last Update Date
2015-01-06
Business Address
JOHN BOURQUE L.B.S.W.
35000 VAN BORN RD
WAYNE, MI 48184-2458
Phone number: 734-722-1000
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Mailing Address
JOHN BOURQUE L.B.S.W.
34807 PHYLLIS ST
WAYNE, MI 48184-2422
Phone number: 734-722-1000
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