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John Fitzgerald Odonnell

Non-emergency Medical Transport (VAN) in Manchester, NH. Individual provider (NPI-1).

NPI number1689366114
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1689366114
Entity type
Individual (NPI-1)
Name
John Fitzgerald Odonnell
Sex
Male
Sole proprietor
Yes
Enumeration date
May 23, 2023
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

2915 Brown Ave
Manchester, NH 03103-6908

Phone 603-591-3335

Mailing address

Po Box 10225
Bedford, NH 03110-0225

Phone 603-591-3335

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