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1104417021
DIANNA ODOM
NORTH LITTLE ROCK, AR
NPI
1104417021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-02-02
Last Update Date
2024-07-02
Business Address
DIANNA ODOM PA-C
2933 LAKEWOOD VILLAGE DR
NORTH LITTLE ROCK, AR 72116-8033
Phone number: 501-435-1417
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Mailing Address
DIANNA ODOM PA-C
9 MOHAWK CIR
LITTLE ROCK, AR 72207-2515
Phone number: 479-970-4064
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