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1770871923
SAMANTHA GREEN ODOM
BRANDON, MS
NPI
1770871923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 4938)
Enumeration Date
2011-07-20
Last Update Date
2016-04-27
Business Address
Mrs. SAMANTHA GREEN ODOM DPT
1220 N SHORE PKWY SUITE B
BRANDON, MS 39047-6383
Phone number: 601-829-0505
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Mailing Address
Mrs. SAMANTHA GREEN ODOM DPT
2416 HIGHWAY 45 N
COLUMBUS, MS 39705-1320
Phone number: 662-327-6705
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