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1487435442
RYAN EARL BOUDREAUX
LAKE CHARLES, LA
NPI
1487435442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
RYAN EARL BOUDREAUX
2829 4TH AVE STE 215
LAKE CHARLES, LA 70601-7887
Phone number: 337-707-3872
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Mailing Address
RYAN EARL BOUDREAUX
2829 4TH AVE STE 215
LAKE CHARLES, LA 70601-7887
Phone number: 337-707-3872
Copy
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