Individual
DWAYNE WILSON ODLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-7692
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-7692
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
28191858A
IN
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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