MICHELLE ANNE BURGOYNE

SHREVEPORT, LA
NPI1669623971
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA200211)
Enumeration Date2008-10-06
Last Update Date2013-02-28
Business Address
Mrs. MICHELLE ANNE BURGOYNE PA
7045 YOUREE DR
SHREVEPORT, LA 71105-5108
Phone number: 318-798-3763
Mailing Address
Mrs. MICHELLE ANNE BURGOYNE PA
7045 YOUREE DR
SHREVEPORT, LA 71105-5108
Phone number: 318-798-3763
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