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1275900060
EBENEZER BODUDE
PHOENIX, AZ
NPI
1275900060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 298440)
Enumeration Date
2015-08-27
Last Update Date
2023-10-25
Business Address
EBENEZER BODUDE RN
11225 N 28TH DR
PHOENIX, AZ 85029-5606
Phone number: 602-699-6999
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Mailing Address
EBENEZER BODUDE RN
7067 W JACKRABBIT LN
PEORIA, AZ 85383-6018
Phone number:
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