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Individual

SOSIAN A OSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4724 E. BRIARWOOD TER, PHOENIX, AZ 85048-0152
(602) 277-5944
(602) 277-5878
Mailing address
4724 E BRIARWOOD TER, PHOENIX, AZ 85048-0152
(602) 277-5944
(602) 277-5878

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
141150-5
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
299640
AZ
Enumeration date
10/09/2009
Last updated
10/09/2009
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