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Individual

MS. CAROL ANN WOOTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5983 AMANDA NORTHERN RD, CARROLL, OH 43112-9619
(614) 830-7428
(614) 307-4280
Mailing address
5983 AMANDA NORTHERN RD, CARROLL, OH 43112-9619
(614) 833-3397
(614) 833-3307

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 106543
OH

Other

Enumeration date
06/04/2006
Last updated
07/08/2007
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