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Individual
MISS JENNIFER LYNN CARRK
Active
Individual
MISS JENNIFER LYNN CARRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OT/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P68354
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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