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1871744854
TRACY B BOURG
HARVEY, LA
NPI
1871744854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 1964)
Enumeration Date
2008-10-08
Last Update Date
2008-10-08
Business Address
-- TRACY B BOURG NP
3909 LAPALCO BLVD SUITE 100
HARVEY, LA 70058-2302
Phone number: 504-349-6900
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Mailing Address
-- TRACY B BOURG NP
3909 LAPALCO BLVD SUITE 100
HARVEY, LA 70058-2302
Phone number: 504-349-6900
Copy
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