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1083143671
JACQUELINE BOOTH
AUGUSTA, GA
NPI
1083143671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: GA 009101)
Enumeration Date
2017-06-07
Last Update Date
2024-07-10
Business Address
JACQUELINE BOOTH MD
1120 15TH ST
AUGUSTA, GA 30912
Phone number: 928-460-3992
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Mailing Address
JACQUELINE BOOTH MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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