Individual
CAROLYN SUE TALBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DARUMA PKWY, DAYTON, OH 45439-7909
(937) 262-5900
(937) 496-5274
Mailing address
3704 SELLARS RD, MORAINE, OH 45439-1235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.078790.MEDS-IV
OH
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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