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1285014191
JOHN BOUDREAU
LOS ANGELES, CA
NPI
1285014191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2015-06-05
Last Update Date
2023-06-20
Business Address
JOHN BOUDREAU
515 COLUMBIA AVE
LOS ANGELES, CA 90017-1209
Phone number: 213-368-1888
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Mailing Address
JOHN BOUDREAU
515 COLUMBIA AVE STE 515
LOS ANGELES, CA 90017-1209
Phone number: 213-553-1800
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