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1568071116
CARIE ELISE BODNAR
TYLER, TX
NPI
1568071116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 1005219)
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
CARIE ELISE BODNAR ACNPC-AG
910 E HOUSTON ST STE 500
TYLER, TX 75702-8365
Phone number: 757-692-7703
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Mailing Address
CARIE ELISE BODNAR ACNPC-AG
17152 LAKESIDE DR
FLINT, TX 75762-9237
Phone number: 757-692-7703
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