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Individual

REBECCA J BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
329 BATH RD, BRUNSWICK, ME 04011-2673
(800) 434-3000
Mailing address
329 BATH RD, BRUNSWICK, ME 04011-2673
(800) 434-3000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP091005
ME

Other

Enumeration date
01/30/2009
Last updated
01/30/2009
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