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1255656252
KATHY BOOTH
WATERTOWN, NY
NPI
1255656252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 257538-1)
Enumeration Date
2010-04-01
Last Update Date
2010-04-01
Business Address
-- KATHY BOOTH LPN
21107 COFFEEN ST.
WATERTOWN, NY 13601
Phone number: 315-782-9285
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Mailing Address
-- KATHY BOOTH LPN
PO BOX 183
WATERTOWN, NY 13601-0183
Phone number: 315-782-9285
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