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1952308967
ERIC DONALD OTTENBACHER
LONGVIEW, WA
NPI
1952308967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004156)
Enumeration Date
2005-07-05
Last Update Date
2007-07-09
Business Address
-- ERIC DONALD OTTENBACHER PA
1615 DELAWARE ST
LONGVIEW, WA 98632-2310
Phone number: 360-414-2385
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Mailing Address
-- ERIC DONALD OTTENBACHER PA
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2048
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