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1922343136
SIDRAH ODOM
ATLANTA, GA
NPI
1922343136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA002279)
Enumeration Date
2012-11-29
Last Update Date
2012-11-29
Business Address
-- SIDRAH ODOM
1833 CLIFTON RD NE
ATLANTA, GA 30329-4021
Phone number: 678-485-4273
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Mailing Address
-- SIDRAH ODOM
1833 CLIFTON RD NE
ATLANTA, GA 30329-4021
Phone number:
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