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Individual

BARBARA BEBE BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,RN,CNS

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R0677530
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
089257200
MN
01
928011040901
PREFERREDONE
MN
01
HP51546
HEALTHPARTNERS
MN
01
P00430374
RAILROAD MEDICARE
MN
Enumeration date
04/07/2006
Last updated
07/17/2008
Update your record

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