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Individual
YVONNE OTIENO
Active
Individual
YVONNE OTIENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD /PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
40209
TX
207R00000X
Internal Medicine Physician
Primary
Q3754
TX
Other
Enumeration date
12/07/2011
Last updated
08/27/2015
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