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Individual
MRS. LIZABETH ANN O'DEA
Active
Individual
MRS. LIZABETH ANN O'DEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
490794-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14001997
—
NY
Enumeration date
11/28/2011
Last updated
11/28/2011
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