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Individual

RANDALL JAMES OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
(479) 495-6299
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-2241
(479) 495-6299

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004636
AR

Other

Enumeration date
02/01/2016
Last updated
12/21/2021
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