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Organization

THE BOOTERY, INC.

Active
Other names
Bob Johns Family Shoes
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT ALLEN JOHNS CERTIFIED PEDORTHIST (PRESIDENT)
(419) 227-2829
Entity
Organization

Contact information

Practice address
1400 ALLENTOWN RD, LIMA, OH 45805-2204
(419) 227-2829
(419) 227-7699
Mailing address
1400 ALLENTOWN RD, LIMA, OH 45805-2204
(419) 227-2829
(419) 227-7699

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LPED.20
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0539706
OH
Enumeration date
04/20/2007
Last updated
08/22/2020
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