LARY ODOM

CONWAY, SC
NPI1811913783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- LARY ODOM
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- LARY ODOM
109 US HIGHWAY 521
ANDREWS, SC 29510-5476
Phone number: 843-221-4115
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