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1710925912
GREGORY ALLEN O'DELL
SOUTHFIELD, MI
NPI
1710925912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704155044)
Enumeration Date
2006-06-02
Last Update Date
2007-07-09
Business Address
-- GREGORY ALLEN O'DELL crna
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-3185
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Mailing Address
-- GREGORY ALLEN O'DELL crna
2131 CALLIE DR
COMMERCE TOWNSHIP, MI 48390-3267
Phone number: 248-926-8049
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