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Individual
TARAH KING-MARTIN
Active
Individual
TARAH KING-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
360419
OH
163WH0200X
Home Health Registered Nurse
360419
OH
163WP0200X
Pediatric Registered Nurse
360419
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273-3546
—
OH
Enumeration date
11/05/2010
Last updated
11/05/2010
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