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1104340306
CLEMENTINE S ODAMTTEN
SAN JOSE, CA
NPI
1104340306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 95006909)
Enumeration Date
2017-07-28
Last Update Date
2017-07-28
Business Address
CLEMENTINE S ODAMTTEN NP
2498 STEVENS CREEK BLVD
SAN JOSE, CA 95128-1652
Phone number: 408-998-5400
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Mailing Address
CLEMENTINE S ODAMTTEN NP
308 SHAUGHNESSY DR
MILPITAS, CA 95035-5474
Phone number: 571-524-6265
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