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1104247766
LISA OSBORNE
FORT WAYNE, IN
NPI
1104247766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28176743A)
Enumeration Date
2013-12-30
Last Update Date
2013-12-30
Business Address
-- LISA OSBORNE CRNA
5734 COVENTRY LN
FORT WAYNE, IN 46804-7141
Phone number: 260-436-7875
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Mailing Address
-- LISA OSBORNE CRNA
5734 COVENTRY LN
FORT WAYNE, IN 46804-7141
Phone number: 260-436-7875
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