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Individual
MRS. PEACHES LANDRY BOOTH
Active
Individual
MRS. PEACHES LANDRY BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1055192
TX
363LA2100X
Acute Care Nurse Practitioner
222104
OK
363LG0600X
Gerontology Nurse Practitioner
222104
OK
Other
Enumeration date
10/18/2021
Last updated
08/04/2025
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