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Rusty Bourgeois
NPI 1942884408 · on the registry since 2021 · sole proprietor
Practice
- Address
- 197 Chateau Papillon
Mandeville, LA 70471 - Phone
- (504) 912-4960
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-01
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 Louisiana