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1801835954
FREDERICK WAYNE BOURGEOIS
COLUMBUS, OH
NPI
1801835954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OH 30-015399)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
Dr. FREDERICK WAYNE BOURGEOIS DDS
5400 N HIGH ST
COLUMBUS, OH 43214-1117
Phone number: 614-436-2817
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Mailing Address
Dr. FREDERICK WAYNE BOURGEOIS DDS
5400 N HIGH ST
COLUMBUS, OH 43214-1117
Phone number: 614-436-2817
Copy
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