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1790234912
MARISHA BOURGEOIS
JUNEAU, AK
NPI
1790234912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AK 473)
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
-- MARISHA BOURGEOIS M.S.,M.A.
9109 MENDENHALL MALL RD SUITE 5K
JUNEAU, AK 99801-7136
Phone number: 504-952-2178
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Mailing Address
-- MARISHA BOURGEOIS M.S.,M.A.
1125 B ST
JUNEAU, AK 99801-1533
Phone number: 504-952-2178
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