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1235177569
SHASTRI BOOTHE
SOUTHFIELD, MI
NPI
1235177569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004456)
Enumeration Date
2006-06-02
Last Update Date
2007-07-24
Business Address
-- SHASTRI BOOTHE PA
18161 W 13 MILE RD SUITE A-2
SOUTHFIELD, MI 48076-1113
Phone number: 248-642-9893
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Mailing Address
-- SHASTRI BOOTHE PA
18161 W 13 MILE RD SUITE A-2
SOUTHFIELD, MI 48076-1113
Phone number: 248-642-9893
Copy
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