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Individual

MRS. CARRIE ELIZABETH PEKARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13335 BOHEMIAN RD, LORE CITY, OH 43755-9751
(740) 581-1075
Mailing address
13335 BOHEMIAN RD, LORE CITY, OH 43755-9751
(740) 581-1075

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
6100445
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2859778
OH
Enumeration date
11/29/2020
Last updated
11/29/2020
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