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Individual

DR. CARRIE BETH OLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
6575 GUNN HWY., TAMPA, FL 33625
(813) 443-0504
(813) 443-5740
Mailing address
6575 GUNN HWY., TAMPA, FL 33625
(813) 443-0504
(813) 443-5740

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9314
FL
111N00000X
Chiropractor
Primary
CH9314111N00000X
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
382216800
FL
Enumeration date
04/19/2007
Last updated
11/22/2011
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