Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack O'Dea

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1548934110

Jack O'Dea is a Student in an Organized Health Care Education/Training Program in Santa Rosa, California. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Santa Rosa, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1548934110
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

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