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1104204395
TAMECO BOOTH
ALTON, IL
NPI
1104204395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043.117905)
Enumeration Date
2015-05-08
Last Update Date
2018-03-27
Business Address
TAMECO BOOTH
2615 EDWARDS ST
ALTON, IL 62002-3915
Phone number: 618-462-2331
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Mailing Address
TAMECO BOOTH
902 W MAIN ST
WEST FRANKFORT, IL 62896-2210
Phone number: 618-937-6483
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