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Individual
MS. DAWN MICHELLE BOUCHER
Active
Individual
MS. DAWN MICHELLE BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.332149
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031802
OH
Other
Enumeration date
03/18/2022
Last updated
07/26/2022
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