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1225088230
KENNETH WILLIAM BODDIE
LOS ANGELES, CA
NPI
1225088230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: CA G40741)
Enumeration Date
2006-05-11
Last Update Date
2007-07-09
Business Address
DR. KENNETH WILLIAM BODDIE M.D.
639 S HAMPSHIRE AVE 2ND FLOOR
LOS ANGELES, CA 90005
Phone number: 213-387-9400
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Mailing Address
DR. KENNETH WILLIAM BODDIE M.D.
1215 S GRAMERCY PL
LOS ANGELES, CA 90019-3638
Phone number: 213-387-9400
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