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1730166109
ANITA L BOURQUE
NEW BRITAIN, CT
NPI
1730166109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CT 029902)
Enumeration Date
2005-12-28
Last Update Date
2015-06-22
Business Address
-- ANITA L BOURQUE MD
100 GRAND ST
NEW BRITAIN, CT 06052-2016
Phone number: 860-224-5556
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Mailing Address
-- ANITA L BOURQUE MD
1 LIBERTY SQ PO BOX 217
NEW BRITAIN, CT 06051-2637
Phone number: 860-827-0071
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