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Individual

ERIN E OTTERSLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SA.0002989

Contact information

Practice address
2014 CARIBOU DR STE 100, FORT COLLINS, CO 80525-4330
(970) 225-9555
Mailing address
2014 CARIBOU DR STE 100, FORT COLLINS, CO 80525-4330
(970) 225-9555

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
SA.0002989
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA.0002989
DA
CO
Enumeration date
12/15/2022
Last updated
12/15/2022
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