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1043212236
ANNA ODOM
LAGRANGE, GA
NPI
1043212236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN113102 NP)
Enumeration Date
2005-06-01
Last Update Date
2007-07-08
Business Address
-- ANNA ODOM NP
1602 VERNON RD STE 400
LAGRANGE, GA 30240-4100
Phone number: 706-882-9341
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Mailing Address
-- ANNA ODOM NP
1602 VERNON RD STE 400
LAGRANGE, GA 30240-4100
Phone number: 706-882-9341
Copy
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