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1942834742
NICHOLE BOUDET
CARBONDALE, IL
NPI
1942834742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209020268)
Enumeration Date
2020-03-02
Last Update Date
2023-07-31
Business Address
NICHOLE BOUDET NP
2601 W MAIN ST
CARBONDALE, IL 62901-1031
Phone number: 618-549-5361
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Mailing Address
NICHOLE BOUDET NP
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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