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Individual
MARYLEE M KOTT
Active
Individual
MARYLEE M KOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
F1720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8A8417
BCBS
TX
Enumeration date
05/20/2006
Last updated
10/01/2007
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