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MRS. CYNTHIA LOUISE ODELL CN LMT

Dietary & Nutritional Service Providers Nutritionist

Provider NPI: 1326220096

Provider Information:
MRS. CYNTHIA LOUISE ODELL CN LMT
Gender: F
Sole Proprietor

Practice Location:
1630 WILLIAMS HWY SUITE 3C GRANTS PASS, OR 97527 US
Tel: 541-479-4776  Fax: 541-479-4643

Business Mailing Address:
1630 WILLIAMS HWY PMB #72  GRANTS PASS, OR 97527 US
Tel: 541-479-4776  Fax: 541-479-4643

NPI Information:
NPI: 1326220096
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N133N00000XDietary & Nutritional Service Providers
Nutritionist
CO000865
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
OR12368

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 225700000X

Type:

Classification:



Definition:



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