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Individual
SALLY NAU
Active
Individual
SALLY NAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.133119
OH
207R00000X
Internal Medicine Physician
48076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344290
—
OH
Enumeration date
04/26/2012
Last updated
09/10/2019
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