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Justin Gregory Odle
Student in an Organized Health Care Education/Training Program in San Bernardino, California
NPI 1760172449

Justin Gregory Odle is a Student in an Organized Health Care Education/Training Program based in San Bernardino, CA. Justin Gregory Odle practices in San Bernardino, CA. The NPI Number for Justin Gregory Odle is 1760172449 and holds a License No. (California).

The current practice location address for Justin Gregory Odle is 1950 S Sunwest Ln Ste 200, San Bernardino, CA and can be reached out via phone at 909-252-4017.

Location: 1950 S Sunwest Ln Ste 200, San Bernardino, CA, 92408-3248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760172449
Provider Name
Justin Gregory Odle
Credential
Provider Entity Type
Individual
Gender
Male
Address
1950 S Sunwest Ln Ste 200, San Bernardino, CA, 92408-3248
Phone Number
909-252-4017
Fax Number
Provider Enumeration Date
05/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1950 S Sunwest Ln Ste 200
City
San Bernardino
State
California
Zip
92408-3248
Phone Number
909-252-4017
Fax Number
person
Provider Business Mailing Address Details
Address
1950 S Sunwest Ln Ste 200
City
San Bernardino
State
California
Zip
92408-3248
Phone Number
909-252-4017
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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