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Individual
MS. DENEENE RAPHAELLE BOOTH
Active
Individual
MS. DENEENE RAPHAELLE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101267592
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
051193
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
253847
MA
Other
Enumeration date
06/18/2008
Last updated
03/14/2024
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