LANNY L ODEN

TEMPE, AZ
NPI1710940192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2006-04-07
Last Update Date2007-07-08
Business Address
-- LANNY L ODEN C-FA
1186 E REDFIELD RD
TEMPE, AZ 85283-5732
Phone number: 480-545-2610
Mailing Address
-- LANNY L ODEN C-FA
1186 E REDFIELD RD
TEMPE, AZ 85283-5732
Phone number: 480-545-2610
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