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Individual
AMANDA LE BOOTH
Active
Individual
AMANDA LE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0441255
KS
207Q00000X
Family Medicine Physician
11018226A
IN
207Q00000X
Family Medicine Physician
Primary
2018024915
MO
Other
Enumeration date
06/19/2015
Last updated
08/14/2024
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