FRED BOOTHBY

ALLEGAN, MI
NPI1962483271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704142595)
Enumeration Date2005-11-14
Last Update Date2008-01-18
Business Address
-- FRED BOOTHBY CNP
3285 122ND AVE P.O. DRAWER 130
ALLEGAN, MI 49010-9511
Phone number: 269-673-6617
Mailing Address
-- FRED BOOTHBY CNP
3285 122ND AVE P.O. DRAWER 130
ALLEGAN, MI 49010-9511
Phone number: 269-673-6617
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