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1295219947
TANNER DWAIN ODOM
HOUSTON, TX
NPI
1295219947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: TX 13914)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
Dr. TANNER DWAIN ODOM DC
2030 NORTH LOOP W STE 120
HOUSTON, TX 77018-8126
Phone number: 903-312-2605
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Mailing Address
Dr. TANNER DWAIN ODOM DC
3433 W DALLAS ST APT 1131
HOUSTON, TX 77019-3842
Phone number: 903-312-2605
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