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KURTT RUSSELL BOUCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
15 SOUTH 1000 EAST, #25, PAYSON, UT 84651-1600
(801) 465-5610
(801) 465-5615
Mailing address
15 SOUTH 1000 EAST, #25, PAYSON, UT 84651-1600
(801) 465-5610
(801) 465-5615

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7004843-4102
UT

Other

Enumeration date
05/16/2008
Last updated
02/20/2009
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