IRENE M. BOURGAULT DO PC
Marriage and Family Therapists at Tenaya Way, Las Vegas, NV

License number
Nevada 350
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. IRENE MARY BOURGAULT D.O.
Title: OWNER
Phone: (702) 648-6228
Address
Address
3150 N Tenaya Way STE 660, Las Vegas, NV 89128
National Provider ID: 1255511739
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Irene M. Bourgault, D.O., A Professional Corporation

2309 N Decatur Blvd, Las Vegas, NV 89108

Registration:
Feb 23, 1989
State ID:
C1457-1989
Business type:
Domestic Professional Corporation
Director, President, Secretary, Treasurer:
Irene M Bourgault D O (Director, President, Secretary, Treasurer)
Agent:
David J. Emry

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