DIANE MARIE BOOTH

FORT LEAVENWORTH, KS
NPI1063721975
Former NameDIANE TREMBLAY DISALVO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: KS  14-64943-052)
Enumeration Date2010-09-28
Last Update Date2010-09-28
Business Address
-- DIANE MARIE BOOTH
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6000
Mailing Address
-- DIANE MARIE BOOTH
550 POPE AVE
FORT LEAVENWORTH, KS 66027-2332
Phone number: 913-684-6000
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