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COURTNEY BOUCHER PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1033594536

Individual Registrant:
 COURTNEY  BOUCHER PA-C
Gender: F
Sole Proprietor

Location and contact information for practice:
503 N STORY PL  ALHAMBRA, CA 91801-2608 US
Tel: 626-484-6732  Fax: --

Contact information for business:
503 N STORY PL  ALHAMBRA, CA 91801-2608 US
Tel: --  Fax: --

Registration Information:
NPI: 1033594536
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA52658

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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