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1124734553
KATHRIN BODINE
BOISE, ID
NPI
1124734553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 65244)
Enumeration Date
2023-01-30
Last Update Date
2023-10-24
Business Address
KATHRIN BODINE NP
1197 W MAIN ST STE 24
BOISE, ID 83702-5630
Phone number: 208-495-4145
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Mailing Address
KATHRIN BODINE NP
1213 S ROOSEVELT ST
BOISE, ID 83705-2013
Phone number: 503-480-6224
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