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Individual

DR. ROBERT JAY OTTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD.

Contact information

Practice address
9485 MENTOR AVE, MENTOR, OH 44060-4597
(440) 255-1800
(440) 255-2088
Mailing address
9485 MENTOR AVE, MENTOR, OH 44060-8723
(440) 255-1800
(440) 255-2088

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-01292
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2531077
OH
Enumeration date
06/28/2006
Last updated
07/09/2007
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