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1952001562
JESSIE BOURQUE
BATON ROUGE, LA
NPI
1952001562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 229548)
Enumeration Date
2023-03-03
Last Update Date
2024-07-25
Business Address
JESSIE BOURQUE CRNP
8923 BLUEBONNET BLVD
BATON ROUGE, LA 70810-2814
Phone number: 225-766-4133
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Mailing Address
JESSIE BOURQUE CRNP
15233 PARADISE LN
GONZALES, LA 70737-7621
Phone number: 225-200-6254
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