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1497336838
JACOB BOUDREAUX
AUGUSTA, GA
NPI
1497336838
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-17
Last Update Date
2022-08-19
Business Address
Dr. JACOB BOUDREAUX MD
1120 15TH ST # BI2144
AUGUSTA, GA 30912-2426
Phone number: 706-910-8827
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Mailing Address
Dr. JACOB BOUDREAUX MD
1120 15TH ST # BI2144
AUGUSTA, GA 30912-0004
Phone number:
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