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1477123644
DWAYNE EDWARD ODELL
KALAMAZOO, MI
NPI
1477123644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
DWAYNE EDWARD ODELL
519 S PARK ST
KALAMAZOO, MI 49007-5117
Phone number: 269-383-2204
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Mailing Address
DWAYNE EDWARD ODELL
519 S PARK ST
KALAMAZOO, MI 49007-5117
Phone number: 269-383-2204
Copy
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