Individual
MARYANN BOURGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
45 SUMMER ST, LEOMINSTER, MA 01453-3228
(978) 534-3372
Mailing address
PO BOX 358, LANCASTER, MA 01523-0358
(978) 365-1984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174115
MA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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