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1568816171
STACY MARIE BODLE
PORTLAND, OR
NPI
1568816171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200730013LPN)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
Mrs. STACY MARIE BODLE LPN
420 NE MASON ST
PORTLAND, OR 97211-3479
Phone number: 506-546-9421
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Mailing Address
Mrs. STACY MARIE BODLE LPN
14302 BRITTANY TER
OREGON CITY, OR 97045-7156
Phone number: 503-546-9421
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