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Organization
BOERSMA CLINIC, LLC
Active
Organization
BOERSMA CLINIC, LLC
Active
Other names
Boersma Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL STACK BOERSMA (OWNER)
(318) 255-2733
Entity
Organization
Contact information
Practice address
765 S BONNER ST, RUSTON, LA 71270-5801
(318) 255-2733
(318) 254-1066
Mailing address
765 S BONNER ST, RUSTON, LA 71270-5801
(318) 255-2733
(318) 254-1066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
04/20/2008
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