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Individual
SARAH B ODOM
Active
Individual
SARAH B ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001014621
NC
363A00000X
Physician Assistant
322114
LA
Other
Enumeration date
05/16/2020
Last updated
04/21/2025
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