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1063989689
NIKOLE R OTAHAL
CORPUS CHRISTI, TX
NPI
1063989689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA12349)
Enumeration Date
2018-11-01
Last Update Date
2023-02-08
Business Address
NIKOLE R OTAHAL PA-C
5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417
Phone number: 361-854-0811
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Mailing Address
NIKOLE R OTAHAL PA-C
230 COUNTY ROAD 3101
ORANGE GROVE, TX 78372-9681
Phone number: 210-835-8451
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