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1093794372
WAYNE CHARLES BOUCHER
TWENTYNINE PALMS, CA
NPI
1093794372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CO 1614)
Enumeration Date
2006-01-13
Last Update Date
2007-07-08
Business Address
Dr. WAYNE CHARLES BOUCHER Psy.D, ABPP
ROBERT E BUSH NAVAL HOSPTIAL MAGTFTC MCAGCC
TWENTYNINE PALMS, CA 92278-8250
Phone number: 760-830-2935
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Mailing Address
Dr. WAYNE CHARLES BOUCHER Psy.D, ABPP
PO BOX 788250 MAGTFTC MCAGCC
TWENTYNINE PALMS, CA 92278-8250
Phone number: 760-830-2935
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