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Individual

DR. JAMES MCBRIDE OTTESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
640 E 700 S, SUITE 207, ST GEORGE, UT 84770-4023
(435) 652-0322
(435) 652-0350
Mailing address
640 E 700 S, SUITE 207, ST GEORGE, UT 84770-4023
(435) 652-0322
(435) 652-0350

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
96-325458-2501
UT

Other

Enumeration date
08/14/2006
Last updated
07/08/2007
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