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Individual
MRS. THERESA BROOKS KOTLAR
Active
Individual
MRS. THERESA BROOKS KOTLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
213262
OH
163WH0200X
Home Health Registered Nurse
213262
OH
251J00000X
Nursing Care Agency
RN213262
OH
Other
Enumeration date
09/20/2015
Last updated
12/23/2015
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