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1588419022
WILHELMUS ANDRE BOOTH
RICHLAND, GA
NPI
1588419022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
Mr. WILHELMUS ANDRE BOOTH
14 RED HILL CHURCH RD
RICHLAND, GA 31825-7514
Phone number: 229-887-3609
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Mailing Address
Mr. WILHELMUS ANDRE BOOTH
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number:
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