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Individual

CINDY DENISE ODEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5380 PEACHTREE INDUSTRIAL BLVD STE 150, NORCROSS, GA 30071-1565
(470) 962-7252
Mailing address
575 PHARR RD NE UNIT 550971, ATLANTA, GA 30355-5038

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN209789
GA
363LF0000X
Family Nurse Practitioner
Primary
RN209789
GA

Other

Enumeration date
11/14/2018
Last updated
03/08/2023
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