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1295767218
GEOFFREY LYLE ODOM
HAMMOND, LA
NPI
1295767218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA MD.023178)
Enumeration Date
2006-07-07
Last Update Date
2017-03-16
Business Address
GEOFFREY LYLE ODOM MD
15790 PAUL VEGA MD DR FINANCE DEPARTMENT
HAMMOND, LA 70403-1434
Phone number: 985-230-1369
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Mailing Address
GEOFFREY LYLE ODOM MD
PO BOX 2668
HAMMOND, LA 70404-2668
Phone number: 985-230-1369
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