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1639168891
MICHAEL OTTO
LIMA, OH
NPI
1639168891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OH 50001888)
Enumeration Date
2005-10-19
Last Update Date
2020-11-05
Business Address
MICHAEL OTTO PA-C
730 W MARKET ST STE 2K
LIMA, OH 45801-4602
Phone number: 419-996-4011
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Mailing Address
MICHAEL OTTO PA-C
730 W MARKET ST STE 2K
LIMA, OH 45801-4602
Phone number: 419-996-4011
Copy
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