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Individual

KIMBERLY BOURQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
108A NORTH MAIN STREET, SUNDERLAND, MA 01375-9502
(413) 665-8717
Mailing address
28A W CENTER ST, FLORENCE, MA 01062-1210
(413) 320-0140

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/12/2015
Last updated
10/12/2015
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