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1700180106
KAITLYN E BOOTH
NEW YORK, NY
NPI
1700180106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NJ 25MP00245300)
Enumeration Date
2010-12-29
Last Update Date
2022-08-09
Business Address
KAITLYN E BOOTH PA
560 1ST AVE
NEW YORK, NY 10016-6402
Phone number: 212-263-0250
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Mailing Address
KAITLYN E BOOTH PA
111 GALWAY PL
TEANECK, NJ 07666-3640
Phone number: 201-833-9500
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