Tera Michele Carlson, LPN | |
578 E Grant Ave, Georgetown, OH 45121-9035 | |
(937) 213-3611 | |
Not Available |
Full Name | Tera Michele Carlson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 578 E Grant Ave, Georgetown, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710158951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN115079 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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Tera Michele Carlson, LPN 578 E Grant Ave, Georgetown, OH 45121-9035 Ph: (937) 213-3611 | Tera Michele Carlson, LPN 578 E Grant Ave, Georgetown, OH 45121-9035 Ph: (937) 213-3611 |
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Jennifer L Hartline, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 60 Cambridge Dr, Apt #17, Georgetown, OH 45121 Phone: 937-213-0888 | |
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