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Individual

DR. ROBERT G BOUSQUET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
655 FAIRVIEW RD, SUITE J, SIMPSONVILLE, SC 29680-7500
(864) 962-8800
(864) 228-9129
Mailing address
655 FAIRVIEW RD, SUITE J, SIMPSONVILLE, SC 29680-7500
(864) 962-8800
(864) 228-9129

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH2296
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH2296
SC
Enumeration date
03/20/2007
Last updated
01/22/2008
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