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1649824202
MADELINE ANNELLA OTA
VISALIA, CA
NPI
1649824202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95011987)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
MADELINE ANNELLA OTA
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
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Mailing Address
MADELINE ANNELLA OTA
3104 N KAYENTA ST
VISALIA, CA 93291-8697
Phone number: 925-334-4671
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