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1548477573
BRENT DAVID BOUDREAUX
DUSON, LA
NPI
1548477573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA ATH.J00109)
Enumeration Date
2007-05-17
Last Update Date
2021-01-10
Business Address
Mr. BRENT DAVID BOUDREAUX ATC
104 DENETTE DR
DUSON, LA 70529-3750
Phone number: 337-344-3400
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Mailing Address
Mr. BRENT DAVID BOUDREAUX ATC
104 DENETTE DR
DUSON, LA 70529-3750
Phone number: 337-344-3400
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