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1457655938
JAMIE LYNN BOOTH
MORENO VALLEY, CA
NPI
1457655938
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Former Name
JAMIE LYNN RUNTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA21124)
Enumeration Date
2010-12-27
Last Update Date
2014-04-10
Business Address
-- JAMIE LYNN BOOTH PA-C
27300 IRIS AVE
MORENO VALLEY, CA 92555-4802
Phone number: 951-243-2018
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Mailing Address
-- JAMIE LYNN BOOTH PA-C
42126 SWEETSHADE LN
TEMECULA, CA 92591-3821
Phone number: 909-210-3059
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