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Individual

MRS. PATRICIA LOUISE OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3989 CENTRAL AVE NE, SUITE 200F, COLUMBIA HEIGHTS, MN 55421-3900
(651) 331-0617
(612) 287-9625
Mailing address
5245 VINCENT AVE N, MINNEAPOLIS, MN 55430-3318
(612) 287-9625
(612) 287-9625

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
149254
VA

Other

Enumeration date
03/11/2007
Last updated
07/08/2007
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