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Individual

CHARITY B BAILLARGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
495 COOPER RD, SUITE 225, WESTERVILLE, OH 43081-8780
(614) 865-9200
(614) 865-9800
Mailing address
495 COOPER RD, SUITE 225, WESTERVILLE, OH 43081-8780
(614) 865-9200
(614) 865-9800

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
09185-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000501937
ANTHEM PIN
OH
01
2722342
UNITED HEATHCARE PIN
OH
Enumeration date
11/28/2006
Last updated
07/08/2007
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