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1669640819
DEREK LANE BOUDREAUX
MARIETTA, GA
NPI
1669640819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA 008213)
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
Dr. DEREK LANE BOUDREAUX D.C.
3660 CANTON RD SUITE 140
MARIETTA, GA 30066-2660
Phone number: 770-596-6367
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Mailing Address
Dr. DEREK LANE BOUDREAUX D.C.
3660 CANTON RD SUITE 140
MARIETTA, GA 30066-2660
Phone number: 770-596-6367
Copy
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