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Jeffrey Michael Bourque, RN

Registered Nurse in Sitka, AK. Individual provider (NPI-1).

NPI number1841636636
StatusActive
Last updated in NPPESMay 20, 2013

Details

NPI
1841636636
Entity type
Individual (NPI-1)
Name
Jeffrey Michael Bourque
Credential
RN
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2013
Last updated
May 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse24384AKYes

Practice location

222 Tongass Dr
Sitka, AK 99835-9416

Phone 907-966-2411

Mailing address

Po Box 6364
Sitka, AK 99835-6364

Phone 907-966-2411

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