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Individual

MARIE PELAGIE ODETIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRT

Contact information

Practice address
236 CROSS ST, MALDEN, MA 02148-7829
(978) 317-8711
Mailing address
236 CROSS ST, MALDEN, MA 02148-7829
(978) 317-8711

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
RT5529
MA
227800000X
Certified Respiratory Therapist
Primary
TT15564
FL

Other

Enumeration date
12/19/2013
Last updated
12/19/2013
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