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1639149693
RUSS A. BODNER
CONCORD, NC
NPI
1639149693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC 9700480)
Enumeration Date
2006-01-24
Last Update Date
2024-07-15
Business Address
RUSS A. BODNER MD
315 MEDICAL PARK DR STE 202
CONCORD, NC 28025-1902
Phone number: 704-403-1911
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Mailing Address
RUSS A. BODNER MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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