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Individual

DR. COREY ALAN OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
734 CAMBRIDGE BLVD, STE 100, O FALLON, IL 62269-1964
(618) 622-9780
(618) 622-9782
Mailing address
734 CAMBRIDGE BLVD, STE 100, O FALLON, IL 62269-1964
(618) 622-9780
(618) 622-9782

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03227051
BC/BS
IL
Enumeration date
07/24/2006
Last updated
03/18/2008
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