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1265114979
JACOB RAYMOND DANIEL BOUCHER
VANCOUVER, WA
NPI
1265114979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
Mr. JACOB RAYMOND DANIEL BOUCHER BS Psychology
10604 NE HIGHWAY 99
VANCOUVER, WA 98686-5613
Phone number: 360-644-1631
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Mailing Address
Mr. JACOB RAYMOND DANIEL BOUCHER BS Psychology
7106 NE 44TH CIR APT A
VANCOUVER, WA 98661-3688
Phone number: 360-600-9927
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