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Individual

MERIDITH BOUCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
106 POPLAR DR, READING, PA 19606-2825
(610) 780-8989
Mailing address
106 POPLAR DR, READING, PA 19606-2825
(610) 780-8989

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5800
TX

Other

Enumeration date
06/13/2014
Last updated
06/13/2014
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