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Individual
GRACE ABIGAILLE BARRANCO-LAXAMANA
Active
Individual
GRACE ABIGAILLE BARRANCO-LAXAMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MTL004220
DC
208M00000X
Hospitalist Physician
Primary
72857
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000102364
—
WI
Enumeration date
06/26/2017
Last updated
08/05/2026
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