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1982422952
JONA ODIM
WYLIE, TX
NPI
1982422952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 2024059804)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
JONA ODIM PMHNP
940 W FM 544
WYLIE, TX 75098-4905
Phone number: 469-335-6133
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Mailing Address
JONA ODIM PMHNP
940 W FM 544
WYLIE, TX 75098-4905
Phone number:
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