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1932670866
JERILYN R BODEY
LEWISTON, ID
NPI
1932670866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 60187)
Enumeration Date
2018-12-17
Last Update Date
2024-02-19
Business Address
JERILYN R BODEY FNP-C
415 6TH ST
LEWISTON, ID 83501
Phone number: 512-730-3056
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Mailing Address
JERILYN R BODEY FNP-C
7500 RIALTO BLVD STE 1-140
AUSTIN, TX 78735-8534
Phone number: 512-730-3056
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