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Individual

DR. JAY RICHARD OSBORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10850 MAHONING AVE, BOX 487, NORTH JACKSON, OH 44451-8705
(330) 538-2490
(330) 538-2575
Mailing address
10850 MAHONING AVE, P. O. BOX 487, NORTH JACKSON, OH 44451-8705
(330) 538-2490
(330) 538-2575

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-05-8686
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0820491
OH
Enumeration date
09/13/2005
Last updated
07/08/2007
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