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1316991557
JACQULYNE S BOOKER
BLOOMINGTON, IN
NPI
1316991557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71001863)
Enumeration Date
2006-05-20
Last Update Date
2020-12-02
Business Address
Mrs. JACQULYNE S BOOKER ANP
995 S CLARIZZ BLVD
BLOOMINGTON, IN 47401-5588
Phone number: 812-353-3060
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Mailing Address
Mrs. JACQULYNE S BOOKER ANP
PO BOX 1329
BLOOMINGTON, IN 47402-1329
Phone number: 812-353-3087
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