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1104184845
TARA BOUDOIN DEVILLE
BEAUMONT, TX
NPI
1104184845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 712309)
Enumeration Date
2012-05-01
Last Update Date
2018-06-13
Business Address
TARA BOUDOIN DEVILLE NP
3195 DOWLEN RD STE 105
BEAUMONT, TX 77706
Phone number: 409-204-0257
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Mailing Address
TARA BOUDOIN DEVILLE NP
3195 DOWLEN RD STE 105
BEAUMONT, TX 77706-7272
Phone number: 409-204-0257
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