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1982231999
CHARLES MARK OSBORNE
NORTH OGDEN, UT
NPI
1982231999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10738348-3501)
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
CHARLES MARK OSBORNE
951 E 1510 N
NORTH OGDEN, UT 84404-7706
Phone number: 601-467-6856
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Mailing Address
CHARLES MARK OSBORNE
951 E 1510 N
NORTH OGDEN, UT 84404-7706
Phone number: 601-467-6856
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