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1639129380
STACIE MICHELLE OTTEN
AUSTIN, TX
NPI
1639129380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX K5171)
Enumeration Date
2006-05-11
Last Update Date
2014-07-16
Business Address
-- STACIE MICHELLE OTTEN MD
1201 W 38TH ST
AUSTIN, TX 78705-1006
Phone number: 512-324-1010
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Mailing Address
-- STACIE MICHELLE OTTEN MD
2619 DEERFOOT TRL
AUSTIN, TX 78704-2715
Phone number: 512-633-4028
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