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Individual

MICHAEL SOCIE

Active
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Individual

MICHAEL SOCIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000360
IL
224P00000X
Prosthetist
Primary
211.000327
IL

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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