DWAYNE ANDREW BOOTH

RIVERTON, WY
NPI1427110022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: WY  108)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
-- DWAYNE ANDREW BOOTH DPM
238 RAILWAY PLAZA
RIVERTON, WY 82501
Phone number: 307-856-3610
Mailing Address
-- DWAYNE ANDREW BOOTH DPM
238 RAILWAY PLAZA
RIVERTON, WY 82501
Phone number: 307-856-3610
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