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1043940141
CHRISTINA ANNA NICOLE ODOM
FAYETTEVILLE, GA
NPI
1043940141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN275604)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
CHRISTINA ANNA NICOLE ODOM FNP
105 CARNEGIE PL STE 106
FAYETTEVILLE, GA 30214-3980
Phone number: 770-716-7999
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Mailing Address
CHRISTINA ANNA NICOLE ODOM FNP
7580 DEERRIDGE WAY
FAIRBURN, GA 30213-6556
Phone number: 678-763-4919
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