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1346905999
DOUGLAS MARTIN BOOTH
METLAKATLA, AK
NPI
1346905999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-11-08
Last Update Date
2022-04-19
Business Address
DOUGLAS MARTIN BOOTH
1271 8TH AVE
METLAKATLA, AK 99926
Phone number: 907-886-6911
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Mailing Address
DOUGLAS MARTIN BOOTH
PO BOX 8
METLAKATLA, AK 99926-0008
Phone number: 907-886-6911
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