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Individual

LEROY KULPA

Active
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Individual

LEROY KULPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
3501000572
MI
332S00000X
Hearing Aid Equipment
3501000572
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
540E017390
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/20/2007
Last updated
09/29/2008
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