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Individual

TANA FRISINA

Active
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Individual

TANA FRISINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075618
HEALTH ALLIANCE PIN #
IL
01
—
BS08432055
BLUE CROSS BLUE SHIELD ID
IL
Enumeration date
02/08/2007
Last updated
07/09/2007
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