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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
2023-09-15
Business Address
JAMES KOSTA OTTO
1900 NE DIVISION ST STE 201
BEND, OR 97701-3572
Phone number: 541-516-6330
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Mailing Address
JAMES KOSTA OTTO
1900 NE DIVISION ST STE 201
BEND, OR 97701-3572
Phone number: 541-516-6330
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