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1609019405
BRIAN K BODDY
SANTA FE, NM
NPI
1609019405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- BRIAN K BODDY
3530 ZAFARANO DR STE C1
SANTA FE, NM 87507-2609
Phone number: 505-471-2020
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Mailing Address
-- BRIAN K BODDY
PO BOX 6079
SANTA FE, NM 87502-6079
Phone number: 505-471-2020
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