Individual
MAGDELINE L BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-7175
(907) 442-7557
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-7175
(907) 442-7557
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1045954
AK
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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