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1457371718
JOHN R BOUCHER
LEBANON, TN
NPI
1457371718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 05269)
Enumeration Date
2006-07-20
Last Update Date
2013-10-01
Business Address
-- JOHN R BOUCHER P.T.
1430 W BADDOUR PKWY SUITE C
LEBANON, TN 37087-2656
Phone number: 615-453-1422
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Mailing Address
-- JOHN R BOUCHER P.T.
1430 W BADDOUR PKWY SUITE C
LEBANON, TN 37087-2656
Phone number: 615-453-1422
Copy
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