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1215945522
ODDETH ROOT
FORT WORTH, TX
NPI
1215945522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX 462492)
Enumeration Date
2006-08-03
Last Update Date
2007-07-18
Business Address
Ms. ODDETH ROOT MSN, RN-BC, NP
431 FULTON ST
FORT WORTH, TX 76104-2214
Phone number: 817-336-0754
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Mailing Address
Ms. ODDETH ROOT MSN, RN-BC, NP
431 FULTON ST
FORT WORTH, TX 76104-2214
Phone number: 817-336-0754
Copy
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