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Joy Louise Boone

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NPI Number Detailed Information

Provider Information:

Name: Joy Louise Boone
Gender: F
Provider License Number If Given: MD038528E

NPI Information:

NPI: 1205835709
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 1/27/2014

Provider Business Mailing Address:

Address: 200 LOTHROP ST SUITE 9055 FORBES TOWER
Pittsburgh, PA 15213
Phone Number: 4126473087
Fax Number: 4126474486

Provider Business Practice Location Address:

Address: 2347 5TH AVE
Mckeesport, PA 15132
Phone Number: 4126735504
Fax Number: 4126732150

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: PA

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