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1174820518
MATTHEW JOSEPH BOUCHARD
BANGOR, ME
NPI
1174820518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT3456)
Enumeration Date
2011-02-21
Last Update Date
2011-02-21
Business Address
Mr. MATTHEW JOSEPH BOUCHARD D.P.T.
404 STATE ST SUITE #610
BANGOR, ME 04401-6623
Phone number: 207-947-8381
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Mailing Address
Mr. MATTHEW JOSEPH BOUCHARD D.P.T.
27 AIRPORT RD
ENFIELD, ME 04493-4455
Phone number: 207-659-2258
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