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Tara Long

Licensed Practical Nurse in Chillicothe, OH. Individual provider (NPI-1).

NPI number1003553066
StatusActive
Last updated in NPPESMay 19, 2022

Details

NPI
1003553066
Entity type
Individual (NPI-1)
Name
Tara Long
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2022
Certification date
May 19, 2022
Last updated
May 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse163360OHYes

Practice location

17273 State Route 104
Chillicothe, OH 45601-9718

Phone 740-773-1141

Mailing address

17273 State Route 104
Chillicothe, OH 45601-9718

Phone 740-773-1141

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