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1952883605
RAEGEN HARBOUR BOUDREAUX
NEW ORLEANS, LA
NPI
1952883605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: LA 310483)
Enumeration Date
2018-08-29
Last Update Date
2022-07-07
Business Address
RAEGEN HARBOUR BOUDREAUX PA
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130-5223
Phone number: 504-529-6600
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Mailing Address
RAEGEN HARBOUR BOUDREAUX PA
5262 WOODSIDE DR
BATON ROUGE, LA 70808-1951
Phone number: 225-315-9224
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