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Individual
MARJORIE M MACQUEEN
Active
Individual
MARJORIE M MACQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA17161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215995576
—
CA
05
—
PA17161
—
CA
Enumeration date
05/03/2006
Last updated
04/15/2009
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