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Individual
KRISTINA MARIE BOODOO
Active
Individual
KRISTINA MARIE BOODOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.485632
OH
163WC0200X
Critical Care Medicine Registered Nurse
RN.485632
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0032141
OH
Other
Enumeration date
04/19/2022
Last updated
07/31/2023
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