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1861549792
DENNIS R BOURDO
MISHAWAKA, IN
NPI
1861549792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MI 6301013489)
Enumeration Date
2007-01-04
Last Update Date
2022-01-31
Business Address
DR. DENNIS R BOURDO PSYD
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
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Mailing Address
DR. DENNIS R BOURDO PSYD
1540 TRINITY PL
MISHAWAKA, IN 46545-5006
Phone number: 574-272-9000
Copy
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