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Individual

GAY GELE' BOURGEOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPSGT, CCSH, RST

Contact information

Practice address
100 ASMA BLVD STE 205, LAFAYETTE, LA 70508-3842
(337) 470-3477
(337) 289-5609
Mailing address
1036 GLEAUX DR, BREAUX BRIDGE, LA 70517-3200
(504) 231-4483

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
LA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
POLY.000176
LA

Other

Enumeration date
12/25/2020
Last updated
12/25/2020
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