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Individual
DR. DIANNE MARY CONNELLY
Active
Individual
DR. DIANNE MARY CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.AC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00111
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412181-03
CAREFIRST NON-PAR NO.
MH
Enumeration date
04/14/2007
Last updated
10/17/2011
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