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Individual
CHASE MITCHELL WEBRE
Active
Individual
CHASE MITCHELL WEBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LOTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
200380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00033637
RAILROAD MEDICARE
LA
Enumeration date
06/04/2010
Last updated
01/12/2011
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