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1952854200
JOSHUA MICHAEL OSBORN
FAYETTE, MO
NPI
1952854200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2015027354)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
Mr. JOSHUA MICHAEL OSBORN ATC, LAT
411 CENTRAL METHODIST SQ
FAYETTE, MO 65248-1104
Phone number: 166-024-8339
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Mailing Address
Mr. JOSHUA MICHAEL OSBORN ATC, LAT
2308 WHITEGATE DR
COLUMBIA, MO 65202-3634
Phone number: 319-572-6794
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