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1295773646
DUSTIN J OTTERBERG
HICKORY, NC
NPI
1295773646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0001-02621)
Enumeration Date
2006-06-04
Last Update Date
2013-05-29
Business Address
-- DUSTIN J OTTERBERG PA
810 FAIRGROVE CHURCH RD
HICKORY, NC 28602-9617
Phone number: 828-326-3000
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Mailing Address
-- DUSTIN J OTTERBERG PA
PO BOX 643403
CINCINNATI, OH 45264-0001
Phone number: 800-299-4564
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