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1275674087
SANDARAE OSBORNE
LOS ANGELES, CA
NPI
1275674087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA PA11209)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Miss SANDARAE OSBORNE
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-846-4312
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Mailing Address
Miss SANDARAE OSBORNE
5850 S MAIN ST
LOS ANGELES, CA 90003-1215
Phone number: 323-846-4312
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