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1356864847
JORDAN BODILY
MERIDIAN, ID
NPI
1356864847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-5115)
Enumeration Date
2017-07-17
Last Update Date
2024-03-12
Business Address
JORDAN BODILY DMD
1558 N CRESTMONT DR
MERIDIAN, ID 83642-2192
Phone number: 208-519-3474
Copy
Mailing Address
JORDAN BODILY DMD
1558 N CRESTMONT DR
MERIDIAN, ID 83642-2192
Phone number: 208-519-3474
Copy
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