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Individual
DR. ODETTE OLIVERAS
Active
Individual
DR. ODETTE OLIVERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41089
IA
207R00000X
Internal Medicine Physician
MA70228
NJ
207R00000X
Internal Medicine Physician
Primary
MD-41089
IA
207R00000X
Internal Medicine Physician
ME 96999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41089
MEDICAL LICENSE
IA
01
—
MA70228
MEDICAL LICENSE
NJ
01
—
ME96999
FL LICENSE
FL
Enumeration date
01/24/2006
Last updated
03/20/2014
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