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1942884408
RUSTY BOURGEOIS
AUSTIN, TX
NPI
1942884408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 121639)
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
RUSTY BOURGEOIS
12001 LONGHORN PKWY
AUSTIN, TX 78732-1291
Phone number: 512-382-4664
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Mailing Address
RUSTY BOURGEOIS
7912 ORIZZONTE ST
AUSTIN, TX 78744-1211
Phone number: 504-912-4960
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