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1740302066
ALEXANDER VLADIMIROVICH OTELLIN
SOUTH CHARLESTON, WV
NPI
1740302066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WV 22592)
Enumeration Date
2007-04-06
Last Update Date
2013-09-17
Business Address
Dr. ALEXANDER VLADIMIROVICH OTELLIN MD
401 DIVISION ST STE 307
SOUTH CHARLESTON, WV 25309-1455
Phone number: 304-932-4259
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Mailing Address
Dr. ALEXANDER VLADIMIROVICH OTELLIN MD
401 DIVISION ST STE 307
SOUTH CHARLESTON, WV 25309-1455
Phone number: 304-932-4259
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