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Individual

MRS. TAMMY J MCCORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
54912 TEMPERANCEVILLE HWY, BARNESVILLE, OH 43713-9650
(740) 679-3417
Mailing address
54912 TEMPERANCEVILLE HWY, BARNESVILLE, OH 43713-9650
(740) 679-3417

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
T1019
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2466620
OH
Enumeration date
03/20/2007
Last updated
07/08/2007
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