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Individual

DR. JUDY LYNN BOURGET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
34052 LA PLZ, SUITE 104, DANA POINT, CA 92629-2587
(949) 429-8760
(949) 429-6909
Mailing address
34052 LA PLZ, SUITE 104, DANA POINT, CA 92629-2587
(949) 429-8760
(949) 429-6909

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G72076
CA
208D00000X
General Practice Physician
Primary
G72076
CA

Other

Enumeration date
01/22/2006
Last updated
02/03/2010
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