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1104299775
ELAINE NAOMI BOUCHARD
SACRAMENTO, CA
NPI
1104299775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 36438)
Enumeration Date
2015-11-04
Last Update Date
2015-11-04
Business Address
-- ELAINE NAOMI BOUCHARD CMT
2414 21ST ST
SACRAMENTO, CA 95818-2410
Phone number: 530-388-0615
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Mailing Address
-- ELAINE NAOMI BOUCHARD CMT
9437 FORT WORTH WAY
SACRAMENTO, CA 95827-1013
Phone number: 530-388-0615
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