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1639117880
LUC G BOUDREA
BEAVERTON, OR
NPI
1639117880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
225X00000X Occupational Therapist
(Licence: FL 20859)
Enumeration Date
2006-06-02
Last Update Date
2025-03-17
Business Address
LUC G BOUDREA OTR, QMHP
6800 SW 105TH AVE STE 101
BEAVERTON, OR 97008-5488
Phone number: 971-200-1966
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Mailing Address
LUC G BOUDREA OTR, QMHP
2631 NE 14TH AVE APT 203
WILTON MANORS, FL 33334-4399
Phone number: 323-828-0618
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