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1255022737
BRANDON C BOOTHE
ANCHORAGE, AK
NPI
1255022737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AK 210828)
Enumeration Date
2023-05-16
Last Update Date
2023-06-23
Business Address
BRANDON C BOOTHE DO
1201 E 36TH AVE
ANCHORAGE, AK 99508-4372
Phone number: 907-562-9229
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Mailing Address
BRANDON C BOOTHE DO
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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