Individual
DR. ALAN J BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12620 BEACH BLVD STE 5, JACKSONVILLE, FL 32246-7130
(904) 997-1717
(904) 645-3483
Mailing address
12620 BEACH BLVD STE 5, JACKSONVILLE, FL 32246-7130
(904) 997-1717
(904) 645-3483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8488
FL
Other
Enumeration date
07/27/2006
Last updated
11/01/2011
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