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Individual
REGINA MCDANIEL
Active
Individual
REGINA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
132298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132298
LICENSE NUMBER
OH
Enumeration date
10/07/2016
Last updated
10/07/2016
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