Magdeline L Booth

NPI #1811490139 in Kotzebue, Alaska

Provider Information

NPI Number: 1811490139
Entity Type: Individual
Name: Magdeline L Booth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prevention Professional
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 436 5TH AVENUE
City: Kotzebue
State: Alaska
ZIP Code: 99752
Phone: (907) 442-7175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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Organizations

Provider Name	Specialty	City
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