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1073066387
AMANDA OTTE
PLYMOUTH, WI
NPI
1073066387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 7151-33)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- AMANDA OTTE
1 PERSNICKETY PL
PLYMOUTH, WI 53073-3544
Phone number: 920-892-3774
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Mailing Address
-- AMANDA OTTE
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number:
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