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1629721741
RYAN BOURG
SHREVEPORT, LA
NPI
1629721741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1885)
Enumeration Date
2022-01-28
Last Update Date
2023-12-12
Business Address
Dr. RYAN BOURG DC
1370 E 70TH ST
SHREVEPORT, LA 71105-4924
Phone number: 318-670-3318
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Mailing Address
Dr. RYAN BOURG DC
4903 LAUREL LN
BOSSIER CITY, LA 71111-5407
Phone number: 985-637-2851
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