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1104344886
ISABEL OTANEZ-ORTIZ
PROVO, UT
NPI
1104344886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-01
Last Update Date
2017-09-01
Business Address
ISABEL OTANEZ-ORTIZ
750 NORTH FREEDOM BLVD
PROVO, UT 84601
Phone number: 801-373-4760
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Mailing Address
ISABEL OTANEZ-ORTIZ
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number:
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