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1225437866
RYAN JACOB BOUDREAUX
ATLANTA, GA
NPI
1225437866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist Neurology
(Licence: GA PT011641)
Enumeration Date
2014-08-20
Last Update Date
2014-08-20
Business Address
RYAN JACOB BOUDREAUX PT, DPT
1462 CLIFTON RD NE STE 312
ATLANTA, GA 30322-1000
Phone number: 404-727-4002
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Mailing Address
RYAN JACOB BOUDREAUX PT, DPT
265 PONCE DE LEON AVE NE UNIT 2115
ATLANTA, GA 30308-1999
Phone number: 941-232-3883
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