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1730173691
ANTON ERIKOVICH LOTMAN
COOS BAY, OR
NPI
1730173691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: OR 26134)
Enumeration Date
2005-09-07
Last Update Date
2010-03-23
Business Address
Dr. ANTON ERIKOVICH LOTMAN M.D.
1900 WOODLAND DRIVE
COOS BAY, OR 97420-0000
Phone number: 541-267-5151
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Mailing Address
Dr. ANTON ERIKOVICH LOTMAN M.D.
1900 WOODLAND DRIVE
COOS BAY, OR 97420-0000
Phone number: 541-267-5151
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