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1588833958
LEIANE MOORE BOUDREAU
SAINT AUGUSTINE, FL
NPI
1588833958
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Professional Name
LEIANE C MOORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP2514302)
Enumeration Date
2008-02-29
Last Update Date
2015-01-05
Business Address
-- LEIANE MOORE BOUDREAU ARNP
1301 PLANTATION ISLAND DR S SUITE 106A
SAINT AUGUSTINE, FL 32080-3108
Phone number: 904-460-9191
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Mailing Address
-- LEIANE MOORE BOUDREAU ARNP
1301 PLANTATION ISLAND DR S SUITE 106A
SAINT AUGUSTINE, FL 32080-3108
Phone number: 904-460-9191
Copy
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