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Brent Boudreaux, ATC
NPI 1548477573 · on the registry since 2007 · sole proprietor
Practice
- Address
- 104 Denette Dr
Duson, LA 70529 - Phone
- (337) 344-3400
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana