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1396079547
KEITH BODDIE
MONROE, GA
NPI
1396079547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 9763)
Enumeration Date
2009-09-21
Last Update Date
2009-09-21
Business Address
-- KEITH BODDIE PT
148 MARTIN LUTHER KING JR BLVD
MONROE, GA 30655-5620
Phone number: 770-207-1137
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Mailing Address
-- KEITH BODDIE PT
148 MARTIN LUTHER KING JR BLVD
MONROE, GA 30655-5620
Phone number: 770-207-1137
Copy
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