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1821114505
JENNIFER ANN BOOTH
PROVO, UT
NPI
1821114505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: UT 355247-4405)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- JENNIFER ANN BOOTH N.P.
920 N 500 W
PROVO, UT 84604-3339
Phone number: 801-374-1801
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Mailing Address
-- JENNIFER ANN BOOTH N.P.
920 N 500 W
PROVO, UT 84604-3339
Phone number:
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