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Individual
MRS. KIMBERLY ANN BODINE
Active
Individual
MRS. KIMBERLY ANN BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256352
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256352
R.N. LICENSE NUMBER
NC
Enumeration date
05/03/2013
Last updated
05/03/2013
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