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Individual
MEGAN CALICOAT
Active
Individual
MEGAN CALICOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN M-IV
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
133836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901051
—
OH
Enumeration date
10/26/2017
Last updated
10/27/2017
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