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1174911713
KIMBERLY A OTT
WARREN, MI
NPI
1174911713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: IN 28143248A)
Enumeration Date
2015-01-06
Last Update Date
2023-08-22
Business Address
Mr. KIMBERLY A OTT FNP-C
28800 RYAN RD SUITE 320
WARREN, MI 48092
Phone number: 586-620-8100
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Mailing Address
Mr. KIMBERLY A OTT FNP-C
10342 N 100 W
WHEATFIELD, IN 46392-9704
Phone number: 219-707-1128
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