GLORIA G BOURQUE

FAIRBANKS, AK
NPI1750341053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AK  545)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
-- GLORIA G BOURQUE ANP
1919 LATHROP ST STE 220
FAIRBANKS, AK 99701
Phone number: 907-452-1739
Mailing Address
-- GLORIA G BOURQUE ANP
PO BOX 73410
FAIRBANKS, AK 99707-3410
Phone number: 800-478-4091
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