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Individual

CAROL LYNN GIVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2679 WOODSEDGE RD, COLUMBUS, OH 43224-3030
(614) 642-2153
(614) 342-2153
Mailing address
2679 WOODSEDGE RD, COLUMBUS, OH 43224-3030
(614) 642-2153
(614) 342-2153

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2661490
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2531808
ODMRDD NUMBER
OH
05
2661490
OH
Enumeration date
04/10/2007
Last updated
07/09/2007
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