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Individual

DR. CLAUDE LAROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
F1107
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031KN
BCBS GROUP
TX
01
8K1167
BCBS INDIVIDUAL
Enumeration date
01/23/2007
Last updated
03/04/2008
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