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1548305295
RENEE M BOUCHER
BARRE, MA
NPI
1548305295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA 01770)
Enumeration Date
2007-02-20
Last Update Date
2016-10-25
Business Address
Ms. RENEE M BOUCHER M.Ed, ATC, LAT
800 SOUTH ST
BARRE, MA 01005-8906
Phone number: 978-355-5041
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Mailing Address
Ms. RENEE M BOUCHER M.Ed, ATC, LAT
PO BOX 442
BARRE, MA 01005-0442
Phone number: 401-440-6369
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