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Individual

MRS. CAROLYN L BERRY-PETTIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS

Contact information

Practice address
621 BROADWAY ST, PORTSMOUTH, OH 45662-4788
(740) 961-4011
(740) 961-4010
Mailing address
941 MARKET ST, PIKETON, OH 45661-9757
(740) 289-2371
(740) 289-4291

Taxonomy

Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
NS01128
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0151259
OH
Enumeration date
05/23/2006
Last updated
04/25/2019
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