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Individual
JEFFREY LYNN CARLSON
Active
Individual
JEFFREY LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003576
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
7054576-0501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133424
—
OH
Enumeration date
10/08/2008
Last updated
07/26/2011
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