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Individual
TIMOTHY MARC OSBORN
Active
Individual
TIMOTHY MARC OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0233440
BLUE SHIELD PIN
CA
01
—
DC23344
CHIROPRACTIC LICENSE
CA
Enumeration date
12/22/2005
Last updated
06/07/2011
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