Mary Lou Bourque

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NPI Number Detailed Information

Provider Information:

Name:	Mary Lou Bourque
Gender:	F
Provider License Number If Given:	493

NPI Information:

NPI:	1750380515
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	7/14/2005
Last Update Date:	7/12/2007
Reputation Report:

Provider Business Mailing Address:

Address:	5000 CEDAR PLAZA PARKWAY STE 350 Saint Louis, MO 63128
Phone Number:	3148434333
Fax Number:	3148434856

Provider Business Practice Location Address:

Address:	763 S NEW BALLAS RD SUITE 110 Saint Louis, MO 63141
Phone Number:	3145691717
Fax Number:	3145690441

Provider Taxonomy:

Primary:	101YM0800X
Secondary (if any):
State:	MO

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About Mary Lou Bourque

Mary Lou Bourque ( MARY LOU BOURQUE ) is Definition Counselor Physician in Saint Louis, MO. The NPI Number for Mary Lou Bourque is 1750380515.

The current location address for Mary Lou Bourque is 763 S NEW BALLAS RD SUITE 110 Saint Louis, MO 63141 and the contact number is 3148434333 and fax number is 3148434856. The mailing address for Mary Lou Bourque is 5000 CEDAR PLAZA PARKWAY STE 350 Saint Louis, MO 63128- 3145691717 (mailing address contact number - 3148434333).

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FAQs:

What is the NPI Number for Mary Lou Bourque ?

Answer: The NPI Number for Mary Lou Bourque is 1750380515

Where is Mary Lou Bourque located?

Answer: Mary Lou Bourque is located at 763 S NEW BALLAS RD SUITE 110 Saint Louis, MO 63141.

What is the specialty for Mary Lou Bourque ?

Answer: The Specialty of Mary Lou Bourque is Definition Counselor Physician.

Are there any online reviews for Mary Lou Bourque ?

Answer: Yes! Check It Now.

Are there any other health care providers in Saint Louis, MO?

Answer: Yes, there are given below...

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