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1316904428
LOREN GLEN OTT
CHICO, CA
NPI
1316904428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16797)
Enumeration Date
2006-05-01
Last Update Date
2007-12-14
Business Address
Mr. LOREN GLEN OTT PA
1600 ESPLANADE SUITE C
CHICO, CA 95926-3369
Phone number: 530-897-4500
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Mailing Address
Mr. LOREN GLEN OTT PA
1600 ESPLANADE SUITE C
CHICO, CA 95926-3369
Phone number: 530-897-4500
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