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Individual

TAKARA L WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3292 GREENFIELD ST NW, WARREN, OH 44485-1347
(330) 307-6817
Mailing address
3292 GREENFIELD ST NW, WARREN, OH 44485-1347
(330) 307-6817

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0165082
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165082
OH
Enumeration date
06/14/2016
Last updated
06/14/2016
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