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JANELLE KYLLO BOUCHIE, PA-C
PA-C
Physician Assistant
NPI: 1366716102IndividualAccepts Medicare
Specialties, Licenses & Credentials
Pediatric Occupational Therapist
Occupational Therapist — Pediatrics
Code: 225XP0200X
OT-1120(ID)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
12809(MN)
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 1027 WASHINGTON AVE
DETROIT LAKES, MN 56501 - Phone
- (218) 847-5611
Quick Facts
- NPI
- 1366716102
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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