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Individual

TOM L COBIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMP

Contact information

Practice address
2422 E LOUISA ST, SEATTLE, WA 98112-2234
(206) 669-4190
Mailing address
2422 E LOUISA ST, SEATTLE, WA 98112-2234
(206) 669-4190

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00005370
WA

Other

Enumeration date
09/10/2010
Last updated
10/08/2015
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