Individual
MR. MARCUS OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC; LAT
Contact information
Practice address
301 8TH AVE SW, MAGEE, MS 39111-3967
(601) 849-4112
Mailing address
371 SOUTHWIND DR, RICHLAND, MS 39218-9229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0292
MS
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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