Individual
MARCO F OSORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 CARLOCK DR, PRESCOTT, AZ 86305-6427
(928) 550-2455
Mailing address
537 6TH ST STE C, PRESCOTT, AZ 86301-2021
(928) 777-3280
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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