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1770085243
LAURA MICHELLE BOUCHER
TULSA, OK
NPI
1770085243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OK 2883)
Enumeration Date
2018-03-01
Last Update Date
2023-11-21
Business Address
Miss LAURA MICHELLE BOUCHER PA-C
6475 S YALE AVE STE 308
TULSA, OK 74136-7802
Phone number: 918-499-4000
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Mailing Address
Miss LAURA MICHELLE BOUCHER PA-C
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number:
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