Individual
CAROLYN M MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
COA.01554-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2463936
—
OH
Enumeration date
11/14/2006
Last updated
07/09/2007
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