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1760211981
ALEXIS LATREESE BODDIE
HUMBLE, TX
NPI
1760211981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1036954)
Enumeration Date
2024-07-27
Last Update Date
2024-09-19
Business Address
ALEXIS LATREESE BODDIE NP
15138 DALMAK GREEN DR
HUMBLE, TX 77346-5178
Phone number: 847-596-0189
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Mailing Address
ALEXIS LATREESE BODDIE NP
15138 DALMAK GREEN DR
HUMBLE, TX 77346-5178
Phone number: 847-596-0189
Copy
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