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1285715458
BRIAN M BOUCK
APACHE JUNCTION, AZ
NPI
1285715458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 6233)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. BRIAN M BOUCK MPT
1075 S IDAHO #210
APACHE JUNCTION, AZ 85219
Phone number: 480-983-0877
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Mailing Address
Mr. BRIAN M BOUCK MPT
3941 E BASELINE #101
GILBERT, AZ 85234
Phone number: 480-503-2010
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