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1548235179
BRYAN DENNIS BOOTH
PHILADELPHIA, PA
NPI
1548235179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA001415L)
Enumeration Date
2006-02-17
Last Update Date
2015-06-12
Business Address
-- BRYAN DENNIS BOOTH PA-C
3400 SPRUCE ST 6 SILVER
PHILADELPHIA, PA 19104-4238
Phone number: 215-615-4949
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Mailing Address
-- BRYAN DENNIS BOOTH PA-C
3400 SPRUCE ST 6 SILVER
PHILADELPHIA, PA 19104-4238
Phone number: 215-615-4949
Copy
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