LEON CARROLL COODY

GOSHEN, IN
NPI1881102168
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71007856A)
Enumeration Date2018-01-20
Last Update Date2023-08-08
Business Address
LEON CARROLL COODY FNP
200 HIGH PARK AVE
GOSHEN, IN 46526-4810
Phone number: 574-364-2673
Mailing Address
LEON CARROLL COODY FNP
19670 US HIGHWAY 20
BRISTOL, IN 46507-8945
Phone number: 574-536-8051
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