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1144364340
ROBERT BOUCHER
DOWNEY, CA
NPI
1144364340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA14340)
Enumeration Date
2007-02-19
Last Update Date
2007-07-09
Business Address
ROBERT BOUCHER PA
7601 IMPERIAL HWY
DOWNEY, CA 90242-3456
Phone number: 562-803-0124
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Mailing Address
ROBERT BOUCHER PA
PO BOX 30220
LOS ANGELES, CA 90030-0220
Phone number: 562-803-0124
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