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Individual
DR. CARMELDA LABAZE
Active
Individual
DR. CARMELDA LABAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2017-0293
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2014-0556
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14177544
—
NM
Enumeration date
03/27/2013
Last updated
08/03/2017
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