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1114332459
WILLIAM BODINE
LAFAYETTE, IN
NPI
1114332459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: IN 10001661A)
Enumeration Date
2014-06-25
Last Update Date
2016-06-28
Business Address
WILLIAM BODINE PA-C
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4000
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Mailing Address
WILLIAM BODINE PA-C
1040 SIERRA DR STE 400
GREENWOOD, IN 46143-7241
Phone number: 317-865-8988
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