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Individual
MR. JAMES M CARROLL
Active
Individual
MR. JAMES M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
670808
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670808
NEW YORK STATE NURSING LICENSE
NY
Enumeration date
02/11/2015
Last updated
02/11/2015
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