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1730229618
ODETTE E DAVIS
BRONX, NY
NPI
1730229618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004779)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
ODETTE E DAVIS PA
MMC - DEPT. OF MEDICINE 111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-2961
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Mailing Address
ODETTE E DAVIS PA
1425 AMSTERDAM AVE
NEW YORK, NY 10027-7454
Phone number: 718-920-2961
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