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1124090311
DONALD BOULANGER
BRADENTON, FL
NPI
1124090311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT4209)
Enumeration Date
2006-02-02
Last Update Date
2007-07-09
Business Address
Mr. DONALD BOULANGER OTR/L
3911 GOLF PARK LOOP SUITE 105
BRADENTON, FL 34203-3453
Phone number: 941-756-1003
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Mailing Address
Mr. DONALD BOULANGER OTR/L
3731 CHERRY ST NE
ST PETERSBURG, FL 33704-1523
Phone number: 941-756-1003
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