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Jonah Bourassa
NPI 1558193300 · on the registry since 2024
Practice
- Address
- 3177 S 3rd Pl
Terre Haute, IN 47802 - Phone
- (812) 514-3096
- Fax
- (812) 301-6667
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana