CATHLEEN CONSTANCE BOURQUE

PLUMMER, ID
NPI1922739747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ID  DH-1462)
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
CATHLEEN CONSTANCE BOURQUE RDH
427 12TH ST
PLUMMER, ID 83851-4000
Phone number: 208-686-1931
Mailing Address
CATHLEEN CONSTANCE BOURQUE RDH
6995 N CORNWALL ST
COEUR D ALENE, ID 83815-7101
Phone number: 208-699-2841
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