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Individual

MR. MICHAEL STEPHEN ODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
901 N PACIFIC COAST HWY, SUITE 200A, REDONDO BEACH, CA 90277-2162
(310) 316-1610
Mailing address
901 N. PACIFIC COAST HWY, SUITE 200A, REDONDO BEACH, CA 90277
(310) 316-1610

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/21/2009
Last updated
02/20/2013
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