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Individual
DR. PATRICK DENIS BOURLON
Active
Individual
DR. PATRICK DENIS BOURLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273239
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147111
WASHINGTON STATE LABOR
WA
01
—
023051002
BLUE CROSS
OR
01
—
R102368
CLINIC MEDICARE NUMBER
OR
Enumeration date
11/06/2006
Last updated
04/12/2011
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