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1972037000
SHANNON R BODIFORD
KNOXVILLE, TN
NPI
1972037000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 21117)
Enumeration Date
2017-04-14
Last Update Date
2021-01-12
Business Address
Mrs. SHANNON R BODIFORD FNP-BC
2018 WESTERN AVE
KNOXVILLE, TN 37921-5718
Phone number: 865-544-0406
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Mailing Address
Mrs. SHANNON R BODIFORD FNP-BC
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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