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1629225636
JEFFREY SHAWN ODOM
WASILLA, AK
NPI
1629225636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-08-20
Last Update Date
2008-08-20
Business Address
-- JEFFREY SHAWN ODOM
5000 E SHENNUM DR
WASILLA, AK 99654-7718
Phone number: 907-352-1200
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Mailing Address
-- JEFFREY SHAWN ODOM
801 N REED CT
WASILLA, AK 99654-6750
Phone number: 907-352-1200
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