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1578074647
NICOLE E. ODOM
ROYAL OAK, MI
NPI
1578074647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704296896)
Enumeration Date
2017-10-17
Last Update Date
2021-01-25
Business Address
Ms. NICOLE E. ODOM NP-C
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-0633
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Mailing Address
Ms. NICOLE E. ODOM NP-C
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3849
Phone number: 248-577-3313
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