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1790246502
JORDAN BOUDREAUX
BIRMINGHAM, AL
NPI
1790246502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-26
Last Update Date
2019-03-26
Business Address
JORDAN BOUDREAUX MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-2490
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Mailing Address
JORDAN BOUDREAUX MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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