LORI BOURGEOIS

RICHMOND, KY
NPI1699129635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT1291)
Enumeration Date2016-04-15
Last Update Date2016-04-15
Business Address
-- LORI BOURGEOIS ATC
1054 CENTER DR STE 1
RICHMOND, KY 40475-3851
Phone number: 225-206-0224
Mailing Address
-- LORI BOURGEOIS ATC
1054 CENTER DR STE 1
RICHMOND, KY 40475-3851
Phone number: 225-206-0224
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