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1144953795
BOSKY NILESH MODI
ODESSA, TX
NPI
1144953795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10080574)
Enumeration Date
2022-07-01
Last Update Date
2022-07-01
Business Address
Dr. BOSKY NILESH MODI MD
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-703-5375
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Mailing Address
Dr. BOSKY NILESH MODI MD
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-703-5375
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