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1003446006
JOSHUA BOOTH
JACKSON, MI
NPI
1003446006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704276659)
Enumeration Date
2020-01-19
Last Update Date
2020-01-19
Business Address
JOSHUA BOOTH CRNA
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-4800
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Mailing Address
JOSHUA BOOTH CRNA
16206 WETHERBY ST
BEVERLY HILLS, MI 48025-5559
Phone number: 248-550-2279
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