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Individual
RICHARD OTT
Active
Individual
RICHARD OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RASI
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-O1007280755
CA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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