Individual
MR. DAVID CARROLL OSBORNE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4825 MACCORKLE AVE SW UNIT F, SOUTH CHARLESTON, WV 25309-1365
(304) 346-9667
(304) 346-9717
Mailing address
122 GERONIMO DR, SAINT ALBANS, WV 25177-3328
(681) 427-6413
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39749
WV
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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