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1699147058
LEABORY ODOM
BASTROP, LA
NPI
1699147058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2015-10-26
Last Update Date
2018-05-22
Business Address
LEABORY ODOM
644 E JEFFERSON AVE
BASTROP, LA 71220
Phone number: 903-503-8372
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Mailing Address
LEABORY ODOM
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number:
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