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1891318127
RIICHI ANDRE OTA
DETROIT, MI
NPI
1891318127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-21
Last Update Date
2020-09-18
Business Address
RIICHI ANDRE OTA M.D.
6071 W. OUTER DRIVE
DETROIT, MI 48235
Phone number: 313-966-3300
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Mailing Address
RIICHI ANDRE OTA M.D.
6071 W. OUTER DRIVE
DETROIT, MI 48235
Phone number: 313-966-3300
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