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1942412499
ERICK MATTHEW BOUCHER
COLUMBUS, OH
NPI
1942412499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT.002209)
Enumeration Date
2007-05-05
Last Update Date
2007-07-08
Business Address
-- ERICK MATTHEW BOUCHER ATC
99 E COOKE RD
COLUMBUS, OH 43214-3111
Phone number: 614-268-8671
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Mailing Address
-- ERICK MATTHEW BOUCHER ATC
751 BENT OAK DR
BLACKLICK, OH 43004-8821
Phone number:
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