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1679356430
NIA ELLYSE BOUDOIN
MARRERO, LA
NPI
1679356430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 150910)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
NIA ELLYSE BOUDOIN
32 ANCHORAGE DR
MARRERO, LA 70072-5038
Phone number: 504-419-7773
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Mailing Address
NIA ELLYSE BOUDOIN
32 ANCHORAGE DR
MARRERO, LA 70072-5038
Phone number: 504-419-7773
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