Connie Marie Odum

NPI #1568162428 in Marion, Illinois

Provider Information

NPI Number
1568162428
Entity Type
Individual
Name
Connie Marie Odum
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Mar 8, 2023
Last Updated
Mar 8, 2023

Practice Location

Address
2401 W MAIN ST
City
Marion
ZIP Code
62959-1188
Phone
(618) 997-5311

Specialties & Taxonomy Codes

Specialty
Technician, Other

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