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1659834323
MARK RICARD BOUDREAU
ROME, GA
NPI
1659834323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 11273)
Enumeration Date
2019-04-10
Last Update Date
2023-05-26
Business Address
MARK RICARD BOUDREAU DO
304 SHORTER AVE NW STE 105
ROME, GA 30165-4256
Phone number: 706-236-4880
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Mailing Address
MARK RICARD BOUDREAU DO
420 E 2ND AVE STE 103
ROME, GA 30161-3210
Phone number: 706-509-3000
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