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1104890870
TIMOTHY SHAWN ODELL
SPARTANBURG, SC
NPI
1104890870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC A777NS)
Enumeration Date
2006-02-17
Last Update Date
2016-03-24
Business Address
-- TIMOTHY SHAWN ODELL PA-C
1075 BOILING SPRINGS RD
SPARTANBURG, SC 29303-2248
Phone number: 864-583-7265
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Mailing Address
-- TIMOTHY SHAWN ODELL PA-C
1075 BOILING SPRINGS RD
SPARTANBURG, SC 29303-2248
Phone number: 864-583-7265
Copy
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