PETER R BOURQUE

AVON, CT
NPI1972853299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  5047)
Enumeration Date2012-09-13
Last Update Date2012-09-13
Business Address
Mr. PETER R BOURQUE APRN
40 AVON MEADOW LANE
AVON, CT 06001
Phone number: 860-990-9870
Mailing Address
Mr. PETER R BOURQUE APRN
40 AVON MEADOW LANE
AVON, CT 06001
Phone number: 860-990-9870
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