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1497272017
BLAISE T BOURGEOIS
AUSTIN, TX
NPI
1497272017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1298341)
Enumeration Date
2017-08-24
Last Update Date
2020-09-24
Business Address
Dr. BLAISE T BOURGEOIS PT, DPT
9900 S INTERSTATE 35 STE P375
AUSTIN, TX 78748-3885
Phone number: 512-580-3006
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Mailing Address
Dr. BLAISE T BOURGEOIS PT, DPT
PO BOX 306393
NASHVILLE, TN 37230-6393
Phone number: 615-373-1350
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