Individual
ALAN FERNANDO OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(682) 366-0037
Mailing address
3132 NW CACHE RD APT 224, LAWTON, OK 73505-3851
(682) 366-0037
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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