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Individual

MRS. JUNE ELLEN BOUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
360 STATE ST, JOHN EDWARDS ELEMENTARY SCHOOL, HUDSON, NY 12534-0000
(518) 828-9493
(518) 697-8516
Mailing address
360 STATE STREET, JOHN EDWARDS ELEMENTARY SCHOOL, HUDSON, NY 12534
(518) 828-9493
(518) 697-8516

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
500201
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500201
NURSING LICENSE
NY
Enumeration date
12/12/2011
Last updated
12/12/2011
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