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Individual

MRS. SUZANNE K. OSOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 653-3100
Mailing address
7216 CRANDON PARK AVE, LAS VEGAS, NV 89131-4327
(702) 968-7890

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2039014
TX

Other

Enumeration date
06/15/2009
Last updated
06/15/2009
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