MARK G ODDEN

MANCHESTER, IA
NPI1528022993
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IA  D-074818)
Enumeration Date2006-04-13
Last Update Date2015-11-03
Business Address
Mr. MARK G ODDEN CRNA
17893 224TH ST
MANCHESTER, IA 52057-8629
Phone number: 563-927-6183
Mailing Address
Mr. MARK G ODDEN CRNA
PO BOX 359
MANCHESTER, IA 52057-0359
Phone number: 563-927-7457
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