LARRY ODOM

WILLIAMSVILLE, NY
NPI1205258225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  301415-1)
Enumeration Date2014-01-09
Last Update Date2014-01-09
Business Address
Mr. LARRY ODOM
238 TEAKWOOD TER
WILLIAMSVILLE, NY 14221-4737
Phone number: 716-400-9339
Mailing Address
Mr. LARRY ODOM
238 TEAKWOOD TER
WILLIAMSVILLE, NY 14221-4737
Phone number: 716-400-9339
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