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1083232771
MARY ELLEN BOOTH
MONROE, LA
NPI
1083232771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 213927)
Enumeration Date
2020-07-08
Last Update Date
2022-06-13
Business Address
MARY ELLEN BOOTH NP
1140 UNIVERSITY AVENUE
MONROE, LA 71209-5702
Phone number: 318-342-1651
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Mailing Address
MARY ELLEN BOOTH NP
130 DESIARD ST STE 355
MONROE, LA 71201-7363
Phone number: 318-807-7875
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