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Individual
GLORIA CHAFFIN
Active
Individual
GLORIA CHAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000341
OH
367H00000X
Anesthesiologist Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853956
BCBS MI PIN
—
Enumeration date
07/29/2007
Last updated
12/07/2022
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