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1851567739
STEPHANIE RENEE BOOTH
LONG BEACH, CA
NPI
1851567739
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Other Name
STEPHANIE RENEE BOOTH-MILLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G062886)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
STEPHANIE RENEE BOOTH MD
4580 ATLANTIC AVENUE
LONG BEACH, CA 90807-0503
Phone number: 562-335-0551
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Mailing Address
STEPHANIE RENEE BOOTH MD
PO BOX 7503
LONG BEACH, CA 90807-0503
Phone number: 562-335-0551
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