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1114400801
CARISA BOUDREAUX
LOS ANGELES, CA
NPI
1114400801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
CARISA BOUDREAUX
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number: 323-769-6100
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Mailing Address
CARISA BOUDREAUX
1224 VINE ST
LOS ANGELES, CA 90038-1612
Phone number:
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