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1982639738
KENNETH FRANKLIN ODOM
DOTHAN, AL
NPI
1982639738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA.504)
Enumeration Date
2006-07-11
Last Update Date
2015-10-29
Business Address
-- KENNETH FRANKLIN ODOM PA
1500 ROSS CLARK CIR
DOTHAN, AL 36301-4754
Phone number: 334-793-2663
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Mailing Address
-- KENNETH FRANKLIN ODOM PA
PO BOX 729
DOTHAN, AL 36302-0729
Phone number: 334-793-2663
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