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Individual

CALVIN JOHN COGBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1155 SE CITY BEACH ST, UNIT 915, OAK HARBOR, WA 98277-7009
(360) 969-0915
Mailing address
PO BOX 915, OAK HARBOR, WA 98277-0915
(360) 969-0915

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007600
WA

Other

Enumeration date
02/07/2007
Last updated
08/06/2015
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