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Miss Gracie Lenore Booth
Student in an Organized Health Care Education/Training Program in Parker, Arizona
NPI 1194026286

Gracie Lenore Booth is a Student in an Organized Health Care Education/Training Program based in Parker, AZ. Gracie Lenore Booth practices in Parker, AZ. The NPI Number for Gracie Lenore Booth is 1194026286 and holds a License No. (Arizona).

The current practice location address for Gracie Lenore Booth is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 928-669-2137 and via fax at 928-669-3131.

Location: 12033 Agency Rd, Parker, AZ, 85344-7718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194026286
Provider Name
Gracie Lenore Booth
Credential
Provider Entity Type
Individual
Gender
Female
Address
12033 Agency Rd, Parker, AZ, 85344-7718
Phone Number
928-669-2137
Fax Number
928-669-3131
Provider Enumeration Date
11/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-669-2137
Fax Number
928-669-3131
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-669-2137
Fax Number
928-669-3131
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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