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1538162722
JASON BOOTHE
AUSTIN, TX
NPI
1538162722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 32415)
Enumeration Date
2005-05-23
Last Update Date
2007-07-08
Business Address
-- JASON BOOTHE
4310 JAMES CASEY ST BLDG 2
AUSTIN, TX 78745-1120
Phone number: 512-416-7246
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Mailing Address
-- JASON BOOTHE
4310 JAMES CASEY ST BLDG 2
AUSTIN, TX 78745-1120
Phone number: 512-416-7246
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