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Individual
LUCY DIANE COBB
Active
Individual
LUCY DIANE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004953
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10755017
BCBS
MO
Enumeration date
07/17/2006
Last updated
06/17/2010
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