Anne M Bourque

NPI 1487987558 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1487987558
Gender Female
Enumeration Date 09/08/2009
Last Updated 09/08/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
22 LEDGE HILL WAY
WEST GARDINER ME, 04345-3135, US
Phone (207) 582-3146
Fax
Business Location
22 LEDGE HILL WAY
WEST GARDINER ME, 04345-3135, US
Phone (207) 582-3146
Fax
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Mrs. Anne M Bourque NPI is 1487987558, taxonomy code is 320900000X Anne M Bourque physically located at 22 Ledge Hill Way, West Gardiner ME, 04345-3135. NPI Number Anne M Bourque has the Individual type.

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1487987558 NPI number is provided on an as is basis without warranty of any kind. 1487987558 is maintained by the National Plan & Provider Enumeration System. The contents of Anne M Bourque are for informational purposes only.