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Organization

ODULIO CLINIC INC

Active
Parent organization
BENITO V ODULIO MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
BENITO V ODULIO MD
Authorized official
DR. BENITO VILLATLOR ODULIO MD (SOLO PRACTITIONER)
(812) 849-0521
Entity
Organization

Contact information

Practice address
92 STATE RD 60E, MITCHELL, IN 47446
(812) 849-0521
(812) 849-9457
Mailing address
92 STATE RD 60E, MITCHELL, IN 47446
(812) 849-0521
(812) 849-9457

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
IN
208D00000X
General Practice Physician
Primary
IN

Other

Enumeration date
03/04/2008
Last updated
03/04/2008
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