ALICIA ANNE BOOTH

FORT WAYNE, IN
NPI1780396275
Former NameALICIA ANNE SPEER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: IN  75000124A)
Enumeration Date2022-12-16
Last Update Date2024-05-20
Business Address
ALICIA ANNE BOOTH
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845-1714
Phone number: 260-425-6030
Mailing Address
ALICIA ANNE BOOTH
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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