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1760194344
MICHAEL ALLEN ODOM
CANTON, MI
NPI
1760194344
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Professional Name
MICHAEL ALLEN ODOM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: MI 4703095116)
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
Mr. MICHAEL ALLEN ODOM LPN
5900 N LOTZ RD
CANTON, MI 48187-4331
Phone number: 734-394-4547
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Mailing Address
Mr. MICHAEL ALLEN ODOM LPN
5900 N LOTZ RD
CANTON, MI 48187-4331
Phone number: 313-673-7494
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