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1841449766
LORI K BOURNE
MELBOURNE, FL
NPI
1841449766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA2514)
Enumeration Date
2008-09-16
Last Update Date
2013-08-15
Business Address
Mrs. LORI K BOURNE P.A.
1350 HICKORY ST
MELBOURNE, FL 32901-3224
Phone number: 321-434-1771
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Mailing Address
Mrs. LORI K BOURNE P.A.
1223 GATEWAY DR
MELBOURNE, FL 32901-2607
Phone number: 321-434-1771
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