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1790297968
RUBY OTOO
FLUSHING, NY
NPI
1790297968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 021603)
Enumeration Date
2017-10-27
Last Update Date
2019-03-05
Business Address
RUBY OTOO PA-C
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
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Mailing Address
RUBY OTOO PA-C
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
Copy
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