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Organization

BASIN BODY

Active
Other names
Everlasting Med Spa
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAYLA OTT PA-C (OWNER)
(432) 770-5273
Entity
Organization

Contact information

Practice address
1307 N LOOP 250 W STE A4, MIDLAND, TX 79706-5743
(432) 201-9405
Mailing address
1307 N LOOP 250 W STE A4, MIDLAND, TX 79706-5743
(432) 201-9405

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
07/25/2023
Last updated
07/25/2023
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