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Individual
DR. MARY ANN V.T. DIMAGUILA
Active
Individual
DR. MARY ANN V.T. DIMAGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
9600517
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9600517
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000C
BCBS NC
NC
01
—
5821100
AETNA
NC
01
—
66782
MEDCOST
NC
05
—
891000C
—
NC
Enumeration date
05/20/2006
Last updated
12/14/2011
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