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1275135584
RAYMOND C ODIAKA
SAN ANTONIO, TX
NPI
1275135584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1018584)
Enumeration Date
2020-11-11
Last Update Date
2020-11-12
Business Address
RAYMOND C ODIAKA PMHNP
7272 WURZBACH RD STE 601
SAN ANTONIO, TX 78240-4803
Phone number: 210-615-3483
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Mailing Address
RAYMOND C ODIAKA PMHNP
4015 HAWTHORNE DR
SACHSE, TX 75048-4087
Phone number: 972-804-3712
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