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1750337895
MICHELLE BOUCHER
ORANGE, CA
NPI
1750337895
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA15464)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
-- MICHELLE BOUCHER PA
200 S MANCHESTER AVE SUITE #300
ORANGE, CA 92868-3217
Phone number: 714-456-3856
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Mailing Address
-- MICHELLE BOUCHER PA
200 S MANCHESTER AVE SUITE # 300
ORANGE, CA 92868-3217
Phone number: 714-456-3856
Copy
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