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Individual

DR. KASANDRA ANN BOTTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 234-6110
Mailing address
118 FORBES FIELD CIR, BOALSBURG, PA 16827-1905
(814) 466-6779

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS-010604-L
PA

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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