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Individual
GARY HARE
Active
Individual
GARY HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104833946
—
MI
01
—
540G30252
BLUE CROSS OF MICHIGAN
—
01
—
GH083147
BLUE CROSS OF MICHIGAN
—
Enumeration date
08/02/2006
Last updated
01/13/2009
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