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1972013050
MATTHEW BRIAN KOSAK
MEDFORD, OR
NPI
1972013050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 201708229NP-PP)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
MATTHEW BRIAN KOSAK NP
2825 E BARNETT RD
MEDFORD, OR 97504-8332
Phone number: 541-789-7100
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Mailing Address
MATTHEW BRIAN KOSAK NP
2600 CAMP BAKER RD
MEDFORD, OR 97501-9608
Phone number:
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