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1376881136
DODIE GAZDA
SPRINGFIELD, IL
NPI
1376881136
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Former Name
DODIE MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL 209-010148)
Enumeration Date
2013-01-29
Last Update Date
2020-10-23
Business Address
DODIE GAZDA ANP-BC
315 W CARPENTER ST CLINIC B
SPRINGFIELD, IL 62702-4901
Phone number: 217-545-8000
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Mailing Address
DODIE GAZDA ANP-BC
PO BOX 19678
SPRINGFIELD, IL 62794-9678
Phone number: 217-545-8000
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