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1841237120
PATRICIA A BOUDET
CARBONDALE, IL
NPI
1841237120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-000668)
Enumeration Date
2006-06-02
Last Update Date
2018-03-17
Business Address
PATRICIA A BOUDET PA
404 S LEWIS LN
CARBONDALE, IL 62901-3547
Phone number: 618-519-9200
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Mailing Address
PATRICIA A BOUDET PA
PO BOX 577 109 CALIFORNIA STREET
CARTERVILLE, IL 62918-0577
Phone number: 618-985-8221
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