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1417570805
PATRICK RYAN ODOM
ROCHESTER, MN
NPI
1417570805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305643)
Enumeration Date
2020-05-20
Last Update Date
2020-05-20
Business Address
PATRICK RYAN ODOM LADC
2360 N BROADWAY
ROCHESTER, MN 55906-4065
Phone number: 507-282-0142
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Mailing Address
PATRICK RYAN ODOM LADC
2360 N BROADWAY
ROCHESTER, MN 55906-4065
Phone number: 507-282-0142
Copy
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