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1255953626
CARLA RENEA BOUDOIR
LAKEVILLE, MN
NPI
1255953626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MN 7376)
Enumeration Date
2020-05-08
Last Update Date
2020-05-08
Business Address
CARLA RENEA BOUDOIR CNP
18342 KERRVILLE TRL
LAKEVILLE, MN 55044-7310
Phone number: 612-275-2739
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Mailing Address
CARLA RENEA BOUDOIR CNP
18342 KERRVILLE TRL
LAKEVILLE, MN 55044-7310
Phone number: 612-275-2739
Copy
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