Individual
CAROLYN SUE TAULBEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 E 2ND ST, LOGAN, OH 43138-1316
(740) 380-6362
Mailing address
360 E 2ND ST, LOGAN, OH 43138-1316
(740) 380-6362
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400588220207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2732476
—
OH
Enumeration date
01/26/2008
Last updated
01/26/2008
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