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Individual
MICHEAL RAY LINVILLE
Active
Individual
MICHEAL RAY LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0259
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-11248
BLUE CROSS
—
Enumeration date
04/13/2006
Last updated
03/19/2015
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