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Individual

PAMELA T OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
930 MADISON AVENUE, MEMPHIS, TN 38163-0001
(901) 448-6300
Mailing address
930 MADISON AVENUE, MEMPHIS, TN 38163-0001
(901) 448-6300

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10016
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3041363
TN
Enumeration date
11/15/2006
Last updated
01/04/2008
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