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1134540909
OTIS LAWRENCE
TACOMA, WA
NPI
1134540909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2013-12-22
Last Update Date
2013-12-22
Business Address
-- OTIS LAWRENCE PA-C
608 E 62ND ST
TACOMA, WA 98404-1935
Phone number: 210-793-0595
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Mailing Address
-- OTIS LAWRENCE PA-C
608 E 62ND ST
TACOMA, WA 98404-1935
Phone number: 210-793-0595
Copy
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