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1053830851
KELLEY C BOOTH
BERKELEY, CA
NPI
1053830851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007295)
Enumeration Date
2017-09-12
Last Update Date
2023-03-07
Business Address
KELLEY C BOOTH NP
2850 TELEGRAPH AVE STE 120
BERKELEY, CA 94705-1159
Phone number: 510-204-8140
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Mailing Address
KELLEY C BOOTH NP
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 510-204-8290
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