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Individual
MRS. CARRIE SUE MERSEREAU
Active
Individual
MRS. CARRIE SUE MERSEREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
024233
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164968483
NPI
OH
05
—
1164968483
—
OH
Enumeration date
01/10/2017
Last updated
12/09/2022
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