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Individual

DR. JOELLE MEGUERDITCH BOULDOUKIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3636 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1723
(361) 852-2678
(361) 992-9548
Mailing address
1325 SANDPIPER DR, CORPUS CHRISTI, TX 78412-3852
(361) 852-2678
(361) 992-9548

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6180T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0063FD
BCBS
TX
05
172994901
TX
Enumeration date
05/08/2006
Last updated
12/27/2007
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