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Individual

DR. KRISTEN MARIE BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
124 CHAPEL CROSSING RD, BRUNSWICK, GA 31525-0529
(912) 554-2002
(912) 554-2290
Mailing address
174 RIVER BIRCH LN, MIDWAY, GA 31320-5356
(315) 373-4346

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009807
GA

Other

Enumeration date
09/06/2011
Last updated
08/08/2019
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