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Individual
CARA ELAINE GRAHAM
Active
Individual
CARA ELAINE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002322A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000288066
ANTHEM
IN
01
—
000000520172
ANTHEM BCBS
OH
01
—
000000543991
ANTHEM
OH
05
—
200437550
—
IN
05
—
2705344
—
OH
Enumeration date
01/13/2006
Last updated
09/17/2014
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