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Individual

DR. RYAN GEORGE BOUSQUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
100 N MAIN ST # D, CARVER, MA 02330-1089
(401) 477-9052
Mailing address
22 MARTINS WAY, LINCOLN, RI 02865-1304
(401) 477-9052

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240415
MA

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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