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1962947507
CALEB BOOTH
CHARLOTTESVILLE, VA
NPI
1962947507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110006158)
Enumeration Date
2017-01-05
Last Update Date
2021-08-02
Business Address
CALEB BOOTH PA
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-9400
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Mailing Address
CALEB BOOTH PA
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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