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1881854974
J GARDINER BOURQUE
BEAUMONT, TX
NPI
1881854974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX d1969)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
-- J GARDINER BOURQUE MD
3560 DELAWARE ST 209
BEAUMONT, TX 77706-3067
Phone number: 409-899-3684
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Mailing Address
-- J GARDINER BOURQUE MD
3560 DELAWARE ST 209
BEAUMONT, TX 77706-3067
Phone number: 409-899-3684
Copy
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