Individual
MRS. JEANA F BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A, AAA
Contact information
Practice address
321 E 300 N, AMERICAN FORK, UT 84003-1790
(801) 763-0724
Mailing address
267 E 360 S, LEHI, UT 84043-2278
(801) 768-0894
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
95-290680-4101
UT
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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