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1982130639
KRISTEN KISER BOURG
LAFAYETTE, LA
NPI
1982130639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-02
Last Update Date
2018-06-04
Business Address
MRS. KRISTEN KISER BOURG
100 ASMA BLVD STE 200
LAFAYETTE, LA 70508
Phone number: 337-303-8663
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Mailing Address
MRS. KRISTEN KISER BOURG
100 ASMA BLVD STE 200
LAFAYETTE, LA 70508-3868
Phone number: 337-303-8663
Copy
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