Individual
GABRIEL OTTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 925-0610
Mailing address
11435 KENYON CT NE, BLAINE, MN 55449-5420
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3981
MN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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