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1073708095
STEPHANIE ANN BODILY
SALT LAKE CITY, UT
NPI
1073708095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 222883-4405)
Enumeration Date
2007-09-12
Last Update Date
2007-09-12
Business Address
Mrs. STEPHANIE ANN BODILY FNP
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-2445
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Mailing Address
Mrs. STEPHANIE ANN BODILY FNP
4786 VIEWMONT ST
SALT LAKE CITY, UT 84117-5333
Phone number: 801-662-2445
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