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1952807380
SHAWN A BOUDREAUX
HAMMOND, LA
NPI
1952807380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 6841)
Enumeration Date
2018-04-04
Last Update Date
2019-08-23
Business Address
SHAWN A BOUDREAUX
1502 MARTENS DR
HAMMOND, LA 70401-1620
Phone number: 985-345-4242
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Mailing Address
SHAWN A BOUDREAUX
218 THELMA DR
SUNSET, LA 70584-5430
Phone number: 337-308-2020
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