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1295400984
MERIDITH L BOUDREAUX
MANSURA, LA
NPI
1295400984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A10988)
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
MERIDITH L BOUDREAUX PTA
7406 HIGHWAY 1 STE 102
MANSURA, LA 71350-4204
Phone number: 318-240-7680
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Mailing Address
MERIDITH L BOUDREAUX PTA
619 N MAIN ST
JENNINGS, LA 70546-5347
Phone number: 337-824-8287
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