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1770004715
RENEE BOUDREAUX
MACON, GA
NPI
1770004715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0000X Podiatrist, Sports Medicine
(Licence: GA AT003149)
Enumeration Date
2017-06-29
Last Update Date
2017-06-29
Business Address
RENEE BOUDREAUX ATC
1501 MERCER UNIVERSITY DR
MACON, GA 31207
Phone number: 478-301-4609
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Mailing Address
RENEE BOUDREAUX ATC
1501 MERCER UNIVERSITY DR
MACON, GA 31207-1515
Phone number:
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