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1609371475
ETHEL OTOR
DECATUR, GA
NPI
1609371475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN155157)
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
ETHEL OTOR
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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Mailing Address
ETHEL OTOR
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
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