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Individual

DR. MARK BAYARD KOSSIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, DACS

Contact information

Practice address
127 AVENUE C STE A, SNOHOMISH, WA 98290-2768
(360) 568-4185
(360) 568-2377
Mailing address
751 HEMLOCK ST, EDMONDS, WA 98020-4023
(425) 775-6977

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002312
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0176018
LABOR & INDUSTRIES
WA
01
KO2585
REGENCE
WA
Enumeration date
10/04/2006
Last updated
07/08/2007
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