PHILLIP MARTIN OTTERNESS

MINNEAPOLIS, MN
NPI1154193639
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251B00000X Case Management
Enumeration Date2023-10-26
Last Update Date2023-10-26
Business Address
PHILLIP MARTIN OTTERNESS
3152 23RD AVE S APT 2
MINNEAPOLIS, MN 55407-5573
Phone number: 612-321-8008
Mailing Address
PHILLIP MARTIN OTTERNESS
3152 23RD AVE S APT 2
MINNEAPOLIS, MN 55407-5573
Phone number: 612-321-8008
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