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1871174508
ANDRE BOURG
BIRMINGHAM, AL
NPI
1871174508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
ANDRE BOURG MD
625 19TH STREET SOUTH
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-4696
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Mailing Address
ANDRE BOURG MD
625 19TH STREET SOUTH
BIRMINGHAM, AL 35249-1900
Phone number:
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