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Individual

MRS. CAROLYN SUE MANTEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
7543 COUNTY ROAD 15, CHESAPEAKE, OH 45619
(740) 894-3167
Mailing address
7543 COUNTY ROAD 15, CHESAPEAKE, OH 45619
(740) 894-3167

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22724
WV
163W00000X
Registered Nurse
Primary
RN288728
OH

Other

Enumeration date
07/16/2007
Last updated
07/16/2007
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