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Individual

DR. JANE F. BOURGEOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C., P.C.

Contact information

Practice address
759 S GILBERT ST, IOWA CITY, IA 52240
(319) 337-7890
(319) 337-7890
Mailing address
759 S GILBERT ST, IOWA CITY, IA 52240
(319) 337-7890
(319) 337-7890

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1367
NM
111N00000X
Chiropractor
3652
CO
111N00000X
Chiropractor
Primary
A05956
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55437
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
05/10/2007
Last updated
05/19/2016
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