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1265586317
MARILYN J BOOTH MD
FOREST GROVE, OR
NPI
1265586317
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Entity Type
Organization
Authorized Contact
MARILYN J BOOTH
Owner
503-357-7194
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD13329)
Enumeration Date
2007-01-23
Last Update Date
2008-03-23
Business Address
MARILYN J BOOTH MD
3305 19TH AVE
FOREST GROVE, OR 97116-1909
Phone number: 503-357-7194
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Mailing Address
MARILYN J BOOTH MD
3305 19TH AVE
FOREST GROVE, OR 97116-1909
Phone number: 503-357-7194
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