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Tom Osborn
NPI 1043680994 · on the registry since 2015
Practice
- Address
- 1120 25th Ave
Black Eagle, MT 59414 - Phone
- (406) 452-9834
- Fax
- (406) 453-3940
- Organisation at this address
- North Central Independent Living Services,Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana