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Individual
YOLONDA BOURGEOIS
Active
Individual
YOLONDA BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J1622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F8319
BCBSTX PROV NO
TX
Enumeration date
12/14/2005
Last updated
12/07/2007
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