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Individual

DR. DAVID BOURG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
301 N HIGHWAY 190, COVINGTON, LA 70433-5016
(985) 893-2223
(985) 893-2281
Mailing address
PO BOX 716, MANDEVILLE, LA 70470-0716
(985) 893-2223
(985) 893-2281

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1706
LA

Other

Enumeration date
06/24/2014
Last updated
06/24/2014
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