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1154900785
PAYTON AMELIA OTTUM
LA JOLLA, CA
NPI
1154900785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-02
Last Update Date
2021-04-13
Business Address
PAYTON AMELIA OTTUM
9300 CAMPUS POINT DR
LA JOLLA, CA 92037-1300
Phone number: 858-657-7000
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Mailing Address
PAYTON AMELIA OTTUM
9300 CAMPUS POINT DR # MC7433
LA JOLLA, CA 92037-1300
Phone number: 858-249-1206
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