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Individual

TARA LYNN CHINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7844
Mailing address
PO BOX 1807, MARION, OH 43301-1807
(740) 383-7000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN148414
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136052
OH
Enumeration date
06/17/2006
Last updated
12/23/2009
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