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Individual

DR. MASJA OTT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1005 COLLEGE AVE, JACKSON, KY 41339-1036
(606) 666-5226
Mailing address
PO BOX 474, JACKSON, KY 41339-0474
(606) 666-5226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4355
KY

Other

Enumeration date
09/26/2005
Last updated
07/08/2007
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