KACEE BODIFORD

PRAIRIE GROVE, AR
NPI1801350137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  A006070)
Enumeration Date2019-01-31
Last Update Date2019-12-09
Business Address
KACEE BODIFORD APRN
3150 E. HERITAGE PWY
PRAIRIE GROVE, AR 72753-0000
Phone number: 479-400-1140
Mailing Address
KACEE BODIFORD APRN
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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