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Individual

GRACE OTTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
2401 W CHELTENHAM AVE, WYNCOTE, PA 19095-2946
(267) 436-0322
Mailing address
2401 W CHELTENHAM AVE, WYNCOTE, PA 19095-2946

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023163
PA

Other

Enumeration date
02/16/2021
Last updated
02/16/2021
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