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Individual

MRS. CARRIE LORRAINE VANATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
46685 TOWNSHIP ROAD 74, COSHOCTON, OH 43812-8914
(740) 294-4912
Mailing address
46685 TOWNSHIP ROAD 74, COSHOCTON, OH 43812-8914
(740) 294-4912

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
436161
OH
164W00000X
Licensed Practical Nurse
144253
OH

Other

Enumeration date
11/06/2013
Last updated
03/09/2017
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