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1780196907
CANDICE ALEA BOUDREAUX
LAKE CHARLES, LA
NPI
1780196907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP09674)
Enumeration Date
2017-10-27
Last Update Date
2018-01-05
Business Address
CANDICE ALEA BOUDREAUX
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8291
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Mailing Address
CANDICE ALEA BOUDREAUX
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8291
Copy
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