Individual
KRISTY N BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
339 N LEXINGTON SPRINGMILL RD, MANSFIELD, OH 44906-1218
(419) 525-2060
Mailing address
339 N LEX-SPRINGMILL RD, MANSFIELD, OH 44903
(419) 525-2060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S6504
OH
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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