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Individual

MR. KYLE W E OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2980 S JONES BLVD, LAS VEGAS, NV 89146-5656
(702) 319-1555
Mailing address
11153 VERISMO ST, LAS VEGAS, NV 89141-3442
(702) 525-1636

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
251S00000X
NV
Enumeration date
04/13/2011
Last updated
04/14/2011
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