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Individual
LYNN MARTIN
Active
Individual
LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HC4822
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343884
—
NC
01
—
HC4822
HOME CARE AGENCY
NC
Enumeration date
12/14/2016
Last updated
12/14/2016
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