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Individual

MARY BETH BODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNP

Contact information

Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7690
Mailing address
2006 FAIRMONT DR, TUSCALOOSA, AL 35405-1755
(205) 657-2985
(205) 556-8462

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-035764
AL

Other

Enumeration date
01/09/2014
Last updated
01/09/2014
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