Individual
HOLLY A OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 CENTER ST, CLAY, WV 25043-7046
(304) 587-7301
(304) 587-2464
Mailing address
PO BOX 147, CLAY, WV 25043-0147
(304) 587-7301
(304) 587-2464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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