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1477998052
ALAN JACOB BOUCHER
MARYSVILLE, OH
NPI
1477998052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
(Licence: OH 129213)
Enumeration Date
2013-05-08
Last Update Date
2018-02-08
Business Address
ALAN JACOB BOUCHER M.D.
140 COLEMANS XING
MARYSVILLE, OH 43040-7080
Phone number: 937-578-7950
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Mailing Address
ALAN JACOB BOUCHER M.D.
140 COLEMANS XING
MARYSVILLE, OH 43040-7080
Phone number: 937-578-7950
Copy
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