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Individual

MS. LUANA D BOOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
620 NORTH MAIN, HARRISON, AR 72601-2911
(870) 414-4000
Mailing address
PO BOX 432, MOUNTAIN HOME, AR 72654-0432
(870) 424-7070
(870) 424-6616

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02678
AR
367500000X
Certified Registered Nurse Anesthetist
R28946
AR

Other

Enumeration date
08/01/2007
Last updated
11/23/2016
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