Individual
DIANE MARIE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2620 SIGSBEE ST, ERIE, PA 16508-1721
(814) 454-4599
Mailing address
1865 DAVISON RD, HARBORCREEK, PA 16421-1431
(814) 449-4809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054518
PA
Other
Enumeration date
10/04/2010
Last updated
06/24/2024
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