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1639639149
OTISA ANN ROTH
LYNWOOD, CA
NPI
1639639149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA 712812)
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
OTISA ANN ROTH RN
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-3625
Phone number: 310-632-0415
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Mailing Address
OTISA ANN ROTH RN
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262-3625
Phone number: 310-632-0415
Copy
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