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Individual

KATIE BOURBONNAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, ATC, LAT, CSCS

Contact information

Practice address
SAINT MARY'S COLLEGE, ANGELA ATHLETIC FACILITY, NOTRE DAME, IN 46556
(574) 284-4006
Mailing address
815 E PARK DR, NILES, MI 49120-5031
(269) 362-0897

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/26/2014
Last updated
12/04/2015
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