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1710158951
TERA MICHELE CARLSON
GEORGETOWN, OH
NPI
1710158951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN115079)
Enumeration Date
2008-03-16
Last Update Date
2014-08-25
Business Address
-- TERA MICHELE CARLSON LPN
578 E GRANT AVE
GEORGETOWN, OH 45121-9035
Phone number: 937-213-3611
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Mailing Address
-- TERA MICHELE CARLSON LPN
578 E GRANT AVE
GEORGETOWN, OH 45121-9035
Phone number: 937-213-3611
Copy
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