WALLACE PAUL ODOM

HUNTSVILLE, AL
NPI1508830308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-071049)
Enumeration Date2006-02-16
Last Update Date2008-12-04
Business Address
Mr. WALLACE PAUL ODOM CRNA
911 BIG COVE RD SE
HUNTSVILLE, AL 35801-3750
Phone number: 256-265-8120
Mailing Address
Mr. WALLACE PAUL ODOM CRNA
PO BOX 1389
HUNTSVILLE, AL 35807-0389
Phone number: 205-979-5882
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