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1144475302
KELLY OTTO
TIGARD, OR
NPI
1144475302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: OR 3885)
Enumeration Date
2008-12-01
Last Update Date
2008-12-01
Business Address
Dr. KELLY OTTO D.C.
9735 SW SHADY LN STE 303
TIGARD, OR 97223-5481
Phone number: 503-684-1273
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Mailing Address
Dr. KELLY OTTO D.C.
9735 SW SHADY LN STE 303
TIGARD, OR 97223-5481
Phone number: 503-684-1273
Copy
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