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Individual

OSMAN ADEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7277 S 22ND AVE, PHOENIX, AZ 85041-5474
(619) 623-9967
Mailing address
7277 S 22ND AVE, PHOENIX, AZ 85041-5474
(619) 623-9967

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/10/2021
Last updated
05/10/2021
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