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1285651968
EILEEN M BOOTH
PROVO, UT
NPI
1285651968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: UT 1165252501)
Enumeration Date
2006-07-17
Last Update Date
2013-01-18
Business Address
-- EILEEN M BOOTH PhD
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7850
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Mailing Address
-- EILEEN M BOOTH PhD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7850
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