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Individual
O'MALLEY MARIE BOSANIC
Active
Individual
O'MALLEY MARIE BOSANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3819
MN
152W00000X
Optometrist
Primary
3942
TN
152W00000X
Optometrist
5984
FL
Other
Enumeration date
06/03/2021
Last updated
05/08/2026
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