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1316098361
KENNETH R BOUCHARD
WEST BLOOMFIELD, MI
NPI
1316098361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
237600000X Audiologist-Hearing Aid Fitter
(Licence: MI 1601000335)
Enumeration Date
2007-01-16
Last Update Date
2012-10-22
Business Address
DR. KENNETH R BOUCHARD PH.D.
6777 WEST MAPLE ROAD OTOLARYNGOLOGY/AUDIOLOGY HENRY FORD W.BLOOMFILED HOSP
WEST BLOOMFIELD, MI 48322
Phone number: 248-925-8276
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Mailing Address
DR. KENNETH R BOUCHARD PH.D.
32411 BRIARCREST KNLS
FARMINGTON HILLS, MI 48334-1515
Phone number: 248-505-1689
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