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1003167016
AMBER M BOOTH
PHOENIX, AZ
NPI
1003167016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: AZ TLP048691)
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
-- AMBER M BOOTH
20402 N 15TH AVE
PHOENIX, AZ 85027-3636
Phone number: 623-445-4952
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Mailing Address
-- AMBER M BOOTH
20402 N 15TH AVE
PHOENIX, AZ 85027-3636
Phone number: 623-445-4952
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