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Individual
MARY PAIGE BOURBEAU
Active
Individual
MARY PAIGE BOURBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9253468
FL
363LF0000X
Family Nurse Practitioner
ARNP 9253468
FL
Other
Enumeration date
03/07/2013
Last updated
11/22/2017
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