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1538283569
MARK LYNN BOUCHER
MODESTO, CA
NPI
1538283569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC20703)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- MARK LYNN BOUCHER LMFT
1208 9TH ST
MODESTO, CA 95354-0713
Phone number: 209-558-4464
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Mailing Address
-- MARK LYNN BOUCHER LMFT
1208 9TH ST
MODESTO, CA 95354-0713
Phone number: 209-558-4464
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