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1417347287
ODELL SAMUEL
COLUMBIA, SC
NPI
1417347287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: SC 166564e)
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
-- ODELL SAMUEL
6439 GARNERS FERRY RD PSYCHIATRIC BUILDING 106
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
-- ODELL SAMUEL
6439 GARNERS FERRY RD PSYCHIATRIC BUILDING 106
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Copy
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