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Individual

CAROL TAYLOR EASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP1577642
FL
247100000X
Radiologic Technologist
BMO52400
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307773000
FL
Enumeration date
04/18/2006
Last updated
05/05/2015
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