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1982890265
MYRNA C. BOUCHEREAU
BATON ROUGE, LA
NPI
1982890265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA PT032R)
Enumeration Date
2007-09-19
Last Update Date
2007-09-19
Business Address
-- MYRNA C. BOUCHEREAU L.P.T.
5254 TRENTS PL
BATON ROUGE, LA 70817-1333
Phone number: 225-753-0503
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Mailing Address
-- MYRNA C. BOUCHEREAU L.P.T.
5254 TRENTS PL
BATON ROUGE, LA 70817-1333
Phone number: 225-753-0503
Copy
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