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Individual
MRS. RENEE LYNN OTT
Active
Individual
MRS. RENEE LYNN OTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59643
NM
363L00000X
Nurse Practitioner
26NJ00914800
NJ
Other
Enumeration date
04/22/2019
Last updated
03/03/2025
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