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Individual
ASHLEY ODOM
Active
Individual
ASHLEY ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61140546
WA
163WP0200X
Pediatric Registered Nurse
RN61140546
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
WA
01
—
00000000
N/A
VA
Enumeration date
05/12/2021
Last updated
05/12/2021
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