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1386646784
KEVIN WAYNE OTT
SAYRE, PA
NPI
1386646784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 251466)
Enumeration Date
2005-08-15
Last Update Date
2023-03-07
Business Address
-- KEVIN WAYNE OTT D.O.
1537 ELMIRA ST
SAYRE, PA 18840
Phone number: 570-888-6803
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Mailing Address
-- KEVIN WAYNE OTT D.O.
1537 ELMIRA ST SAYRE VA CBOC
SAYRE, PA 18840
Phone number: 570-888-6803
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