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Individual
CARA BEACH
Active
Individual
CARA BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP201010
OR
Other
Enumeration date
03/15/2016
Last updated
02/17/2021
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