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Individual
CARMEN J. CENTANNI
Active
Individual
CARMEN J. CENTANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116505
ANTHEM BCBS
OH
01
—
000000116505
ANTHEM BC/BS
—
Enumeration date
08/10/2005
Last updated
12/17/2008
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