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1629401971
FERNANDA BODDEN
ROCKMART, GA
NPI
1629401971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: GA 15030)
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- FERNANDA BODDEN
107 CHIEF CT
ROCKMART, GA 30153-8017
Phone number: 908-499-1339
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Mailing Address
-- FERNANDA BODDEN
107 CHIEF CT
ROCKMART, GA 30153-8017
Phone number: 908-499-1339
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