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1316100571
JOANAH C BODERO
MIAMI BEACH, FL
NPI
1316100571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9104352)
Enumeration Date
2008-07-08
Last Update Date
2008-07-08
Business Address
-- JOANAH C BODERO P.A.
4302 ALTON RD SUITE 830
MIAMI BEACH, FL 33140-2891
Phone number: 305-674-2950
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Mailing Address
-- JOANAH C BODERO P.A.
PO BOX 816759
HOLLYWOOD, FL 33081-0759
Phone number: 954-964-2450
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