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1427072339
DOUGLAS WAYNE O'DELL
CHARLESTON, WV
NPI
1427072339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WV 2193)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS WAYNE O'DELL DDS
1210 VIRGINIA ST E
CHARLESTON, WV 25301-2928
Phone number: 303-345-1210
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Mailing Address
Dr. DOUGLAS WAYNE O'DELL DDS
1210 VIRGINIA ST E
CHARLESTON, WV 25301-2928
Phone number: 303-345-1210
Copy
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