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Individual

DR. DEBORAH JEAN ODENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.D.

Contact information

Practice address
601 GALL ST., LOWER BRULE, SD 57548
(605) 473-8227
(605) 473-0708
Mailing address
712 N MAIN ST, CHAMBERLAIN, SD 57325-1271
(605) 234-5833
(605) 473-0708

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R4362
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R4362
PHARMACY LICENSE
SD
Enumeration date
02/26/2007
Last updated
07/10/2012
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