ELAINE ANNE3/17/1962 BODA

KIRKSVILLE, MO
NPI1396168779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MO  2013029464)
Enumeration Date2014-01-21
Last Update Date2014-01-21
Business Address
-- ELAINE ANNE3/17/1962 BODA
1815 E HAMILTON ST
KIRKSVILLE, MO 63501-3903
Phone number: 660-665-5691
Mailing Address
-- ELAINE ANNE3/17/1962 BODA
1901 E HAMILTON ST
KIRKSVILLE, MO 63501-3904
Phone number: 660-665-7774
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