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1326721143
JACE S OTTLEY
HUNTINGTON, WV
NPI
1326721143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
JACE S OTTLEY PA-S
1542 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-696-6035
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Mailing Address
JACE S OTTLEY PA-S
384 TURKEY CREEK RD
LEICESTER, NC 28748-7723
Phone number:
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