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Individual

LILLIAN DIANE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
1621 E FULTON ST, COLUMBUS, OH 43205-2533
(614) 253-8027
(614) 253-8027
Mailing address
1621 E FULTON ST, COLUMBUS, OH 43205-2533
(614) 253-8027
(614) 253-8027

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3651660
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3651660
CERTIFIED NURSE AIDE
OH
Enumeration date
04/26/2007
Last updated
07/08/2007
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