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1740296698
MICHAEL G BODNAR
THOUSAND OAKS, CA
NPI
1740296698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A00064258)
Enumeration Date
2006-07-31
Last Update Date
2020-09-30
Business Address
MICHAEL G BODNAR MD
55 ROLLING OAKS DR STE 200
THOUSAND OAKS, CA 91361-1010
Phone number: 805-497-7529
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Mailing Address
MICHAEL G BODNAR MD
2285 CORPORATE CIR STE 200
HENDERSON, NV 89074-7759
Phone number: 702-360-2763
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