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1225019797
PAUL ODAK ADHOLLA
FAYETTEVILLE, NC
NPI
1225019797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: NC 9500293)
Enumeration Date
2005-11-10
Last Update Date
2017-04-27
Business Address
Mr. PAUL ODAK ADHOLLA MD
1520 OWEN PARK LN
FAYETTEVILLE, NC 28304
Phone number: 910-860-3500
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Mailing Address
Mr. PAUL ODAK ADHOLLA MD
PO BOX 40606
FAYETTEVILLE, NC 28309-0606
Phone number: 910-860-3500
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