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Individual
CAROL PATRICIA MCLEAN
Active
Individual
CAROL PATRICIA MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
R131588
MD
314000000X
Skilled Nursing Facility
R131588
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R131588
MD
Other
Enumeration date
04/11/2007
Last updated
08/04/2020
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