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Individual

NATHAN PAUL OTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
314 S CHESTNUT ST, SEYMOUR, IN 47274-2330
(812) 271-1700
(812) 271-1345
Mailing address
8432 N COUNTY ROAD 400 E, SEYMOUR, IN 47274-9121
(812) 271-1700
(812) 271-1345

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003519A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200911940
IN
05
201195980 A
IN
01
IN3519
EYEMED
IN
Enumeration date
06/24/2008
Last updated
10/21/2015
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