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Bodi Wallace
NPI 1609624881 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5408 Morning Glory St
South Bloomfield, OH 43103 - Phone
- (740) 497-6108
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Sex
- Male
- Record last updated
- 2024-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio