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Individual
MR. DALLAS COKE LOFFI-LARA
Active
Individual
MR. DALLAS COKE LOFFI-LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN BSN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
316306
OK
163WC1500X
Community Health Registered Nurse
Primary
80874
OK
171400000X
Health & Wellness Coach
5488
OK
Other
Enumeration date
06/12/2020
Last updated
02/26/2024
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