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1154629574
CAROL LYNN BOOTH
JOHNSTOWN, PA
NPI
1154629574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: PA DN001771)
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
CAROL LYNN BOOTH RD
415 MARGARET AVE
JOHNSTOWN, PA 15905-3865
Phone number: 814-288-5801
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Mailing Address
CAROL LYNN BOOTH RD
415 MARGARET AVE
JOHNSTOWN, PA 15905-3865
Phone number: 814-288-5801
Copy
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