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1538246988
GAYLE B BODNER
PHOENIX, AZ
NPI
1538246988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04233)
Enumeration Date
2006-11-01
Last Update Date
2016-07-27
Business Address
-- GAYLE B BODNER PA
5779 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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Mailing Address
-- GAYLE B BODNER PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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