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Individual
CRISTI CARNAHAN
Active
Individual
CRISTI CARNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
349
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100653970A
—
OK
01
—
100653970B
NFMS
OK
01
—
100653970C
EPSDT
OK
Enumeration date
11/09/2006
Last updated
06/02/2008
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