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Individual

CAREN M ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
075560
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075560
NYS LPN LICENSE
NY
Enumeration date
07/06/2010
Last updated
07/06/2010
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