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1912432790
NOLAN BODAH
SYRACUSE, NY
NPI
1912432790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-28
Last Update Date
2017-04-28
Business Address
Dr. NOLAN BODAH D.D.S.
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-5540
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Mailing Address
Dr. NOLAN BODAH D.D.S.
14693B CEDAR WAY
WATERTOWN, NY 13601
Phone number: 315-408-8666
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