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1104396498
ELISE J BOOTH
FORT COLLINS, CO
NPI
1104396498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0994183)
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
ELISE J BOOTH FNP-C
2244 E HARMONY RD STE 110
FORT COLLINS, CO 80528-3422
Phone number: 970-658-5115
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Mailing Address
ELISE J BOOTH FNP-C
2244 E HARMONY RD STE 110
FORT COLLINS, CO 80528-3422
Phone number: 970-658-5115
Copy
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