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1487305215
JUSTIN WALLACE ODGERS
NORFOLK, VA
NPI
1487305215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-01-13
Last Update Date
2022-02-28
Business Address
JUSTIN WALLACE ODGERS PA-C
6379 CENTER DR
NORFOLK, VA 23502-4102
Phone number: 757-467-4200
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Mailing Address
JUSTIN WALLACE ODGERS PA-C
403 24TH ST APT 11
VIRGINIA BEACH, VA 23451-3262
Phone number: 413-588-7344
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