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Individual

BRYAN OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11311 19TH AVE SE APT A106, EVERETT, WA 98208-5102
(509) 859-2937
Mailing address
11311 19TH AVE SE APT A106, EVERETT, WA 98208-5102
(509) 859-2937

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60187838
WA

Other

Enumeration date
10/28/2010
Last updated
05/02/2012
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