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1114057510
KATHLEEN MARIE BOOTH
ST PAUL, MN
NPI
1114057510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R1226809)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN MARIE BOOTH RNC, NP
2115 SUMMIT AVE STUDENT HEALTH SERVICES # 5056
ST PAUL, MN 55105
Phone number: 651-962-6750
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Mailing Address
Ms. KATHLEEN MARIE BOOTH RNC, NP
7 RED PINE RD
NORTH OAKS, MN 55127-2030
Phone number: 651-490-7863
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