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1780290486
MACKENZIE C BOOTHE
WEST DES MOINES, IA
NPI
1780290486
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Other Name
MACK C BOOTHE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 101593)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
MACKENZIE C BOOTHE DPT
5045 BENTLEY DR STE 190
WEST DES MOINES, IA 50265-7010
Phone number: 515-226-1616
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Mailing Address
MACKENZIE C BOOTHE DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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