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Individual

JASON SCOTT OZBOURN

Active
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Individual

JASON SCOTT OZBOURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011964
IL
261Q00000X
Clinic/Center
038011964
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other

Enumeration date
03/17/2011
Last updated
11/30/2017
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