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Individual
JOHN T HARLAN
Active
Individual
JOHN T HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0448
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358433
—
AZ
01
—
480022566
MEDICARE RAILROAD
AZ
01
—
AZ0192020
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/21/2005
Last updated
01/14/2014
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