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EMILY BOUCHER

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1912858895
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
513 BROADWAY, NEWPORT, RI, 028401471
Phone
(401) 324-9100
Fax
(401) 380-8260

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program Primary

All Addresses

MAILING

99 SUMNER ST PH 623

BOSTON, MA, 021284985

(401) 324-9100

LOCATION

513 BROADWAY

NEWPORT, RI, 028401471

(401) 324-9100