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1164269569
JAQUANA ODOM
SYRACUSE, NY
NPI
1164269569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 881153)
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
JAQUANA ODOM
213 WOLCOTT AVE
SYRACUSE, NY 13207-1124
Phone number: 315-664-2143
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Mailing Address
JAQUANA ODOM
213 WOLCOTT AVE
SYRACUSE, NY 13207-1124
Phone number: 315-664-2143
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