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1922502772
TRACI BOURGEOIS
LAFAYETTE, LA
NPI
1922502772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 326107)
Enumeration Date
2018-03-19
Last Update Date
2021-10-05
Business Address
TRACI BOURGEOIS M.D.
2390 WEST CONGRESS STREET
LAFAYETTE, LA 70506
Phone number: 337-261-6000
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Mailing Address
TRACI BOURGEOIS M.D.
324 DULLES DRIVE
LAFAYETTE, LA 70506
Phone number: 337-706-1571
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