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1760596860
BACK TO LIFE LLC - BEN BOOHER DO
KENNEWICK, WA
NPI
1760596860
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Entity Type
Organization
Authorized Contact
BEN W. BOOHER
Physician
541-571-8201
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WA OP1774)
Enumeration Date
2006-08-18
Last Update Date
2022-07-21
Business Address
BACK TO LIFE LLC - BEN BOOHER DO
4309 W. 27TH PL. SUITE 200
KENNEWICK, WA 99338
Phone number: 509-735-5433
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Mailing Address
BACK TO LIFE LLC - BEN BOOHER DO
PO BOX 53
HERMISTON, OR 97838-0053
Phone number: 541-289-4555
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