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1912650425
SCOTT WILLIAM BODENBERG
MUSKEGON, MI
NPI
1912650425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
SCOTT WILLIAM BODENBERG
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-1111
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Mailing Address
SCOTT WILLIAM BODENBERG
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-1111
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