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Individual
MRS. CORAZON INTANO-ARCA
Active
Individual
MRS. CORAZON INTANO-ARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301032630
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104294015
—
MI
01
—
3506356272
BCBSM
MI
05
—
4294015
—
MI
Enumeration date
09/25/2006
Last updated
09/09/2013
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