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1922402015
SHANDA ODOMS
BILOXI, MS
NPI
1922402015
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Former Name
SHANDA BAXTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R858081)
Enumeration Date
2014-10-17
Last Update Date
2016-09-30
Business Address
-- SHANDA ODOMS NP-C
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-5000
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Mailing Address
-- SHANDA ODOMS NP-C
400 VETERANS AVE
BILOXI, MS 39531-2410
Phone number: 228-523-5000
Copy
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