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1558487785
WILLIAM A BOURQUE
SAN DIEGO, CA
NPI
1558487785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP5508)
Enumeration Date
2007-03-21
Last Update Date
2008-09-23
Business Address
WILLIAM A BOURQUE NP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
WILLIAM A BOURQUE NP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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