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1114622974
LUKE RISEN OTSTOT
CHATTANOOGA, TN
NPI
1114622974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
LUKE RISEN OTSTOT
1100 E 3RD ST
CHATTANOOGA, TN 37403-2241
Phone number: 423-778-2957
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Mailing Address
LUKE RISEN OTSTOT
1100 E 3RD ST
CHATTANOOGA, TN 37403-2241
Phone number: 423-778-2957
Copy
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