SHIRLEY BOOTZ

SOUTH BEND, IN
NPI1790444248
Former NameSHIRLEY KEEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IN  13004216A)
Enumeration Date2021-12-13
Last Update Date2021-12-13
Business Address
SHIRLEY BOOTZ LDH
220 DEAN JOHNSON BLVD
SOUTH BEND, IN 46601-3415
Phone number: 574-289-7001
Mailing Address
SHIRLEY BOOTZ LDH
220 DEAN JOHNSON BLVD
SOUTH BEND, IN 46601-3415
Phone number: 574-289-7001
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