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1912136029
CRAIG OTTING
BOISE, ID
NPI
1912136029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 21029)
Enumeration Date
2009-07-09
Last Update Date
2009-07-09
Business Address
-- CRAIG OTTING Pharm.D.
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 563-663-1426
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Mailing Address
-- CRAIG OTTING Pharm.D.
1119 N 8TH ST APT D
BOISE, ID 83702-4269
Phone number: 563-663-1426
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