Individual
SHARI JO BOUCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
106 4TH AVENUE NORTH, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
212 11TH AVENUE NORTH, APT. 204, DETROIT LAKES, MN 56501
(320) 290-0440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L65463-4
MN
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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