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1144859075
JOHN BOUCHARD
DECATUR, GA
NPI
1144859075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA MT012568)
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
JOHN BOUCHARD
701 CHURCH ST
DECATUR, GA 30030-2520
Phone number: 678-774-9773
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Mailing Address
JOHN BOUCHARD
701 CHURCH ST
DECATUR, GA 30030-2520
Phone number: 678-774-9773
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