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Individual
SARAH OTANO
Active
Individual
SARAH OTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00375
CT
174400000X
Specialist
Primary
13681
CA
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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