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Individual

TAELYN RENEE' ALLRED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
673 ARMSTRONG ST LOT 37, MANSFIELD, OH 44906-2068
(567) 241-2304
Mailing address
673 ARMSTRONG ST LOT 37, MANSFIELD, OH 44906-2068
(567) 241-2304

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
LCKBLK7G8Q
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73840892
OH
Enumeration date
10/06/2022
Last updated
10/06/2022
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