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1750813259
PHILIP BOUCHETTE
SHREVEPORT, LA
NPI
1750813259
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 334420)
Enumeration Date
2017-04-03
Last Update Date
2023-09-05
Business Address
PHILIP BOUCHETTE MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-626-0434
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Mailing Address
PHILIP BOUCHETTE MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number:
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