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Individual
DR. MICHAEL D HYLEMON
Active
Individual
DR. MICHAEL D HYLEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DABCO
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
772
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100772
CONNECTICARE
—
05
—
1613715
—
MA
01
—
210407
ACN GROUP HNE
—
01
—
727263
TUFTS
—
01
—
Y35543
BCBS
—
Enumeration date
11/06/2006
Last updated
07/08/2007
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