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Individual
DAVID CARR
Active
Individual
DAVID CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.430412
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022013042
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209027877
IL
Other
Enumeration date
11/17/2021
Last updated
12/03/2024
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