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Individual
DR. PAUL BOURBEAU
Active
Individual
DR. PAUL BOURBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
NO LICENSE
PA
Other
Enumeration date
02/22/2006
Last updated
11/18/2011
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