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1164945267
ELAINE MARIE ODUM
BOWLING GREEN, KY
NPI
1164945267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
ELAINE MARIE ODUM ATC
1605 AVENUE OF CHAMPIONS
BOWLING GREEN, KY 42101-6412
Phone number: 270-745-3743
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Mailing Address
ELAINE MARIE ODUM ATC
255 WALNUT CREEK CT
BOWLING GREEN, KY 42101-8179
Phone number: 913-375-5958
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