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Individual

MR. SHAWN OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICENSED PHLEBOTOMIS

Contact information

Practice address
1008 DISSTON AVE, CLERMONT, FL 34711-3704
(678) 790-6534
Mailing address
1008 DISSTON AVE, CLERMONT, FL 34711-3704
(678) 790-6534

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
L18000031175
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82-475854
FL
Enumeration date
02/10/2018
Last updated
02/10/2018
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