Individual
DAVID BOURBONNAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 SHOOTING PARK RD, PERU, IL 61354-1871
(815) 224-1411
Mailing address
1004 SHOOTING PARK RD, PERU, IL 61354-1871
(815) 224-1411
(815) 224-1790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289811
IL
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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