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Odyssey Gade
NPI 1710596390 · on the registry since 2020
Practice
- Address
- 351 Ehilani St
Makawao, HI 96768 - Phone
- (808) 757-8268
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- HI, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii