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1124094933
OTTO LOUIS-JACQUES
FAIRFAX, VA
NPI
1124094933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: VA 0101233886)
Enumeration Date
2006-02-23
Last Update Date
2016-03-25
Business Address
Dr. OTTO LOUIS-JACQUES M.D.
3022 WILLIAMS DR SUITE 301
FAIRFAX, VA 22031-4600
Phone number: 703-698-1775
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Mailing Address
Dr. OTTO LOUIS-JACQUES M.D.
3022 WILLIAMS DR SUITE 301
FAIRFAX, VA 22031-4600
Phone number: 703-698-1775
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