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Paul
Paul
Bourque
Orthotist
DeLand, United States
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Florida Health Care Practitioner Data Portal
Full name
PAUL BOURQUE
Job Title
Orthotist
Location
Deland
LIC ID
6
Current License Expiration Date
30/11/2025
Original Date
14/05/1998
Professional Rank Code
ORT
Effective Date
01/01/1901
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
2902 cranial technologies
Practice Location Address Line 2
2902 N. orange AVE.
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32804
Prescribing Indicator
N
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