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1104500396
KAYLA NICOLE BODART
GREEN BAY, WI
NPI
1104500396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WI 13872)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
KAYLA NICOLE BODART NP
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-8280
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Mailing Address
KAYLA NICOLE BODART NP
PO BOX 28900
GREEN BAY, WI 54324-0900
Phone number:
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