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Individual

MRS. PAMELA ANN ODLE

Active
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Individual

MRS. PAMELA ANN ODLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R119098
MD
163W00000X
Registered Nurse
RN961126
DC
363L00000X
Nurse Practitioner
RN961126
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R119098
MD

Other

Enumeration date
08/19/2008
Last updated
01/17/2014
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