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1588105597
BRETT BODDICKER
PELLA, IA
NPI
1588105597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA 3727)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
Mr. BRETT BODDICKER
812 UNIVERSITY STREET
PELLA, IA 50219
Phone number: 319-213-5124
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Mailing Address
Mr. BRETT BODDICKER
812 UNIVERSITY ST
PELLA, IA 50219-1902
Phone number: 319-213-5124
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