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1710999685
JEREMY T BOOTH
OGDEN, UT
NPI
1710999685
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: UT 296143-1205)
Enumeration Date
2006-08-12
Last Update Date
2016-01-20
Business Address
JEREMY T BOOTH MD
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-7615
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Mailing Address
JEREMY T BOOTH MD
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-389-8091
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