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Individual

HEATH CONRAD ROSIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, BA

Contact information

Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-0203
(360) 423-5277
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 423-5277

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60802959
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2140629
WA
Enumeration date
10/27/2017
Last updated
11/07/2019
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