Individual
MRS. COLLEEN P OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2560 WALDEN AVE STE 101, CHEEKTOWAGA, NY 14225-4757
(716) 683-5202
(716) 583-5742
Mailing address
105 CLEARFIELD DR, WILLIAMSVILLE, NY 14221-2405
(716) 688-8846
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
254051-1
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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