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Individual
THOMAS R PELLETT
Active
Individual
THOMAS R PELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.455734
OH
163WH0200X
Home Health Registered Nurse
RN.455734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NO OTHER PROVIDER NUMBERD
—
Enumeration date
09/09/2019
Last updated
09/09/2019
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