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1972803542
SALLY BOURQUE
JENNINGS, LA
NPI
1972803542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
-- SALLY BOURQUE MPT
2002 JOHNSON ST SUITE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547
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Mailing Address
-- SALLY BOURQUE MPT
2002 JOHNSON ST SUITE 100
JENNINGS, LA 70546-3640
Phone number: 337-824-4547
Copy
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