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1235590696
ASHLEY L. BODINE
SPRINGFIELD, IL
NPI
1235590696
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Former Name
ASHLEY L. KING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209014040)
Enumeration Date
2016-03-14
Last Update Date
2020-06-18
Business Address
ASHLEY L. BODINE NP-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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Mailing Address
ASHLEY L. BODINE NP-C
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
Copy
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