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1396286605
TREVOR PAUL BOUDREAUX
THIBODAUX, LA
NPI
1396286605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: LA 313125)
Enumeration Date
2017-03-20
Last Update Date
2021-08-16
Business Address
TREVOR PAUL BOUDREAUX MD
726 N ACADIA RD STE 1700
THIBODAUX, LA 70301-5051
Phone number: 985-493-4990
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Mailing Address
TREVOR PAUL BOUDREAUX MD
PO BOX 5478
THIBODAUX, LA 70302-5478
Phone number: 985-493-4544
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