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1841787785
EMILY R BOURGUIGNON
GREEN BAY, WI
NPI
1841787785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 4440)
Enumeration Date
2018-04-17
Last Update Date
2020-01-16
Business Address
EMILY R BOURGUIGNON PA-C
3263 EATON RD
GREEN BAY, WI 54311-6830
Phone number: 920-433-6000
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Mailing Address
EMILY R BOURGUIGNON PA-C
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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