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Individual

MR. RICHARD RYAN OOTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AS-C

Contact information

Practice address
239 HARVEY LANE, DECATUR, TX 76234
(940) 626-9228
Mailing address
P.O. BOX 55, DECATUR, TX 76234
(940) 626-9228

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
C10-0311A
TX

Other

Enumeration date
04/09/2010
Last updated
04/09/2010
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