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1194256115
ELISE ODOM
HARLINGEN, TX
NPI
1194256115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: TX 35682)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- ELISE ODOM R.D.A
2701 S 77 SUNSHINESTRIP
HARLINGEN, TX 78550-8318
Phone number: 956-430-9355
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Mailing Address
-- ELISE ODOM R.D.A
105 DICKEY ST
FORT POLK, LA 71459-3546
Phone number: 956-430-9355
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