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1114183126
LIBERTY ANN BOUCHER
GLENDALE, WI
NPI
1114183126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 6297-15)
Enumeration Date
2008-07-30
Last Update Date
2008-07-30
Business Address
Dr. LIBERTY ANN BOUCHER DDS
7040 N PORT WASHINGTON RD
GLENDALE, WI 53217-3838
Phone number: 414-351-6010
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Mailing Address
Dr. LIBERTY ANN BOUCHER DDS
4037 N DOWNER AVE
SHOREWOOD, WI 53211-2127
Phone number: 414-418-2280
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