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Individual
POONAM BHARGAVA
Active
Individual
POONAM BHARGAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633794
BCBS OF ILLINOIS
IL
Enumeration date
05/09/2007
Last updated
07/21/2009
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