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1174301709
JAMES KOSTA OTTO
BEND, OR
NPI
1174301709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-09-15
Last Update Date
2024-11-15
Business Address
JAMES KOSTA OTTO
1340 NW WALL ST
BEND, OR 97703-1985
Phone number: 541-322-7500
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Mailing Address
JAMES KOSTA OTTO
2577 NE COURTNEY DRIVE
BEND, OR 97701-7638
Phone number: 541-322-7500
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