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Individual

MS. CARRIE ANN TRAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N

Contact information

Practice address
225 GAY ST, NEWARK, OH 43055-6323
(740) 670-0959
Mailing address
225 GAY ST, NEWARK, OH 43055-6323
(740) 670-0959

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN111779
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2447632
IDEPENDANT PROVIDER NUMBE
OH
Enumeration date
02/15/2007
Last updated
07/08/2007
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