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1891419370
JONATHAN TREVOR OSBORNE
COLUMBIA, SC
NPI
1891419370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 27665)
Enumeration Date
2022-09-28
Last Update Date
2023-09-11
Business Address
JONATHAN TREVOR OSBORNE
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
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Mailing Address
JONATHAN TREVOR OSBORNE
1601 GREEN STREET
COLUMBIA, SC 29208-0001
Phone number:
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