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1568468353
TINA MARIE BOUDREAUX
LAFAYETTE, LA
NPI
1568468353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN101634AP04563)
Enumeration Date
2005-06-26
Last Update Date
2016-07-27
Business Address
-- TINA MARIE BOUDREAUX FNP
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6100
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Mailing Address
-- TINA MARIE BOUDREAUX FNP
2390 W CONGRESS ST
LAFAYETTE, LA 70506-4205
Phone number: 337-261-6100
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