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LARHONDA DENEENE BODDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1941 S FORT ST, DETROIT, MI 48217-1013
(313) 828-3151
Mailing address
1941 S FORT ST, DETROIT, MI 48217-1013
(313) 828-3151

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103136
MI

Other

Enumeration date
02/24/2019
Last updated
02/24/2019
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