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1376243022
CASEY JO ODOM
MANASSAS, VA
NPI
1376243022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 2022139810)
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
CASEY JO ODOM FNP-BC
10945 GEORGE MASON CIR
MANASSAS, VA 20110-2233
Phone number: 703-361-5116
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Mailing Address
CASEY JO ODOM FNP-BC
41381 RED SPRUCE DR
ALDIE, VA 20105-6229
Phone number: 571-214-4344
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