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1437789591
JESSICA NICOLE BOUDREAUX
BATON ROUGE, LA
NPI
1437789591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20150400)
Enumeration Date
2020-01-17
Last Update Date
2020-01-17
Business Address
JESSICA NICOLE BOUDREAUX
11445 REIGER RD
BATON ROUGE, LA 70809-4556
Phone number: 225-932-9867
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Mailing Address
JESSICA NICOLE BOUDREAUX
57935 MCDANIEL ST
PLAQUEMINE, LA 70764-2039
Phone number:
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