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1205693942
BRANDY ROSE-CHARLENE WILSON-ODOM
LYNCHBURG, VA
NPI
1205693942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009901)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
BRANDY ROSE-CHARLENE WILSON-ODOM PA-C
125 NATIONWIDE DR
LYNCHBURG, VA 24502-4272
Phone number: 434-200-3908
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Mailing Address
BRANDY ROSE-CHARLENE WILSON-ODOM PA-C
615 BAY HILL DR APT 6
TRAVERSE CITY, MI 49684-5644
Phone number: 231-357-1764
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