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1295041069
KEITH ALLEN OSBURN
CANTON, OH
NPI
1295041069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH AT-002103)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
Mr. KEITH ALLEN OSBURN ATC
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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Mailing Address
Mr. KEITH ALLEN OSBURN ATC
4645 BELPAR ST NW
CANTON, OH 44718-3602
Phone number: 330-493-4210
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