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Individual

SUSAN CHRISTA BOSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 SE WASHINGTON AVE., OPTIONAL, CHEHALIS, WA 98532
(360) 507-8032
Mailing address
500 SE WASHINGTON AVE., OPTIONAL, CHEHALIS, WA 98532
(360) 507-8032

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN00124390
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2077844
WA
Enumeration date
06/28/2021
Last updated
06/28/2021
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