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1417944208
FRED S BODKER
OVERLAND PARK, KS
NPI
1417944208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: KS 04/25774)
Enumeration Date
2005-10-05
Last Update Date
2008-07-08
Business Address
-- FRED S BODKER MD
7504 ANTIOCH RD
OVERLAND PARK, KS 66204-2622
Phone number: 913-341-3100
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Mailing Address
-- FRED S BODKER MD
PO BOX 803861
KANSAS CITY, MO 64180-3861
Phone number: 913-341-3100
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