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Individual

VIVIAN A CONDE

Active
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Individual

VIVIAN A CONDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR L CST

Taxonomy

Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
1133
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
341605134
COMMERCIAL INSURANCE
OH
01
341605134-01
BWC
OH
01
341605134005
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
05/11/2007
Last updated
07/08/2007
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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