Individual
SEAN OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
4181 OAK FOREST DR NE, BROOKHAVEN, GA 30319-1422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN254942
GA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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