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1063522779
PATRICK A. BOUDEWYNS
AUGUSTA, GA
NPI
1063522779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: GA PSY000791)
Enumeration Date
2006-08-30
Last Update Date
2011-03-30
Business Address
PATRICK A. BOUDEWYNS PHD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-3141
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Mailing Address
PATRICK A. BOUDEWYNS PHD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-8401
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