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Individual

MS. CAROLE GRATE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1416 BETHLEHEM RD W, PROSPECT, OH 43342-9765
(740) 360-2541
Mailing address
1416 BETHLEHEM RD W, PROSPECT, OH 43342-9765
(740) 360-2541

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN090456
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2229350
OH
Enumeration date
05/25/2006
Last updated
07/09/2007
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