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1386484566
JALEN MICHELLE ODLE
MYRTLE BEACH, SC
NPI
1386484566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 5665)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
JALEN MICHELLE ODLE COTA/L
5000 HIGHWAY 17 BYP S
MYRTLE BEACH, SC 29588-4500
Phone number: 843-252-0033
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Mailing Address
JALEN MICHELLE ODLE COTA/L
312 SUNSET TRL
MYRTLE BEACH, SC 29577-2365
Phone number: 210-501-8705
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