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Individual
MINDY B CETEL
Active
Individual
MINDY B CETEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G62985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G629850
—
CA
01
—
FG622Z
INDIVIDUAL PTAN LOS ANGELES
CA
01
—
W14362
GRP PTAN
CA
01
—
W14362B
GRP PTAN
CA
Enumeration date
06/26/2006
Last updated
04/20/2012
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