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1003942038
CERISE MARIE BOUCHER
CASTLETON, VT
NPI
1003942038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VT 1040000061)
Enumeration Date
2007-02-26
Last Update Date
2021-06-16
Business Address
Ms. CERISE MARIE BOUCHER ATC
CASTLETON UNIVERSITY 190 UNIVERSITY DRIVE
CASTLETON, VT 05735-0573
Phone number: 802-468-1435
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Mailing Address
Ms. CERISE MARIE BOUCHER ATC
1668 SOUTH ST
CASTLETON, VT 05735-9254
Phone number: 802-671-8052
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