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1629358866
THERESA FREDERICK BODKER
LAFAYETTE, LA
NPI
1629358866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: LA AP01091)
Enumeration Date
2011-08-19
Last Update Date
2012-04-18
Business Address
-- THERESA FREDERICK BODKER APRN
1211 COOLIDGE BLVD SUITE 100
LAFAYETTE, LA 70503-2636
Phone number: 337-289-8400
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Mailing Address
-- THERESA FREDERICK BODKER APRN
PO BOX 62600
NEW ORLEANS, LA 70162-2600
Phone number: 337-706-1506
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