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1134568967
GEORGE AUSTIN BOOTHE
MONTGOMERY, AL
NPI
1134568967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-109113)
Enumeration Date
2013-06-14
Last Update Date
2013-06-14
Business Address
-- GEORGE AUSTIN BOOTHE CRNP
4770 WOODMERE BLVD STE B
MONTGOMERY, AL 36106-3084
Phone number: 334-272-1050
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Mailing Address
-- GEORGE AUSTIN BOOTHE CRNP
4770 WOODMERE BLVD STE B
MONTGOMERY, AL 36106-3084
Phone number: 334-272-1050
Copy
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