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Individual
MRS. FRANCE BOUCHARD-GILL
Active
Individual
MRS. FRANCE BOUCHARD-GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSCPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36677
CA
2251G0304X
Geriatric Physical Therapist
36677
CA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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