Individual
LOGAN OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 UNIVERSITY ST, PELLA, IA 50219
(563) 260-9221
Mailing address
P.O. BOX 386, GRANDVIEW, IA 52752
(563) 260-9221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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