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Individual
TALLIE L CLUXTON
Active
Individual
TALLIE L CLUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73011
BCBS OF FL PROVIDER #
FL
01
—
78727743
GREENWAVE AETNA PROVIDER
FL
Enumeration date
08/25/2006
Last updated
07/08/2007
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