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Individual
SUSAN K. BOUDAKIAN
Active
Individual
SUSAN K. BOUDAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A6939
CA
Other
Enumeration date
06/13/2007
Last updated
09/23/2008
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