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Individual

MRS. DEBRA LEIGH OTTARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
6634 JARVIS ROAD, GLOUCESTER, VA 23061
(804) 693-4336
Mailing address
PO BOX 112, WARE NECK, VA 23178-0112
(804) 693-4336

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006891
VA

Other

Enumeration date
11/14/2013
Last updated
11/14/2013
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