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Individual
SARA ELIZABETH ENSOR
Active
Individual
SARA ELIZABETH ENSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176469801
—
TX
01
—
608086
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/31/2006
Last updated
02/11/2014
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