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1295805893
DARIN DALE OTT
KANAB, UT
NPI
1295805893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 362943)
Enumeration Date
2006-11-09
Last Update Date
2023-11-27
Business Address
DARIN DALE OTT D.O.
355 N MAIN ST
KANAB, UT 84741-3260
Phone number: 435-644-4100
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Mailing Address
DARIN DALE OTT D.O.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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