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1801010178
RICHARD ISSIAH OTERO
SANTA ROSA, CA
NPI
1801010178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Mr. RICHARD ISSIAH OTERO
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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Mailing Address
Mr. RICHARD ISSIAH OTERO
PO BOX 992
SEBASTOPOL, CA 95473-0992
Phone number: 707-703-9173
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