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1477258770
ASHLEY L ODUM
MARION, IL
NPI
1477258770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043122011)
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
ASHLEY L ODUM LPN
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
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Mailing Address
ASHLEY L ODUM LPN
300 JOHN ABLE DR
GOREVILLE, IL 62939-3234
Phone number: 618-964-4105
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