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Individual
DR. MARY H ZEGA
Active
Individual
DR. MARY H ZEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2608
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084004000
BLUE CROSS
OR
01
—
54573
WA ST DEPT OF LABOR & IND
OR
01
—
93-1022799
TAX IDENTIFICATION NUMBER
OR
01
—
U-44021
PACC
OR
Enumeration date
12/17/2006
Last updated
09/07/2010
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