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1831429000
KIMBERLEE MARIE BOUCHARD
OSWEGO, NY
NPI
1831429000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 007357-1)
Enumeration Date
2010-01-11
Last Update Date
2010-01-11
Business Address
-- KIMBERLEE MARIE BOUCHARD
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
-- KIMBERLEE MARIE BOUCHARD
3630 US ROUTE 11
PULASKI, NY 13142-2161
Phone number: 315-509-4232
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