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1720583495
JENNA LYNN BOOTHE
HAZARD, KY
NPI
1720583495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3012058)
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
JENNA LYNN BOOTHE APRN
210 BLACK GOLD BLVD STE 106
HAZARD, KY 41701-2620
Phone number: 606-436-0711
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Mailing Address
JENNA LYNN BOOTHE APRN
PO BOX 959
HAZARD, KY 41702-0959
Phone number: 606-436-0711
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