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Individual

ISAIAH JOHN OTTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9042 S 74TH ST, LINCOLN, NE 68516-4303
(402) 804-9975
Mailing address
9042 S 74TH ST, LINCOLN, NE 68516-4303
(404) 804-9975

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
09/15/2025
Last updated
09/15/2025
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