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1790392850
HOLLY KAYLENE ODOM
HATTIESBURG, MS
NPI
1790392850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 903803)
Enumeration Date
2020-09-23
Last Update Date
2020-09-23
Business Address
HOLLY KAYLENE ODOM FNP
5909 U S HIGHWAY 49 STE 20
HATTIESBURG, MS 39402-2860
Phone number: 601-296-2800
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Mailing Address
HOLLY KAYLENE ODOM FNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-296-2800
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