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Individual

RENEE N BOONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT-BC

Contact information

Practice address
1098 N JAMESTOWN RD, APT. H, DECATUR, GA 30033-7113
(405) 600-4458
Mailing address
1098 N JAMESTOWN RD, APT. H, DECATUR, GA 30033-7113
(405) 600-4458

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/20/2007
Last updated
10/15/2008
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