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Individual

MRS. YVETTE DENISE BOUDOIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARDMS

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(478) 274-5671
Mailing address
1262 OAK HAVEN WAY, LAWRENCEVILLE, GA 30043-8312

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
133760
GA

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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