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Individual
MRS. MARY ELAINE M OSBORNE
Active
Individual
MRS. MARY ELAINE M OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4239
LA
235500000X
Speech/Language/Hearing Specialist/Technologist
4239
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544612
—
LA
01
—
4239
STATE LICENSE NUMBER
LA
Enumeration date
06/28/2006
Last updated
03/15/2016
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