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1134255243
FREDERICK EARL BODENHAMER
JEFFERSON CITY, MO
NPI
1134255243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO T02261)
Enumeration Date
2007-02-25
Last Update Date
2014-12-30
Business Address
Dr. FREDERICK EARL BODENHAMER O.D.
3238 WEST TRUMAN BOULEVARD
JEFFERSON CITY, MO 65109-2936
Phone number: 573-635-2020
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Mailing Address
Dr. FREDERICK EARL BODENHAMER O.D.
3238 W TRUMAN BLVD
JEFFERSON CITY, MO 65109-5708
Phone number: 573-636-3882
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