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Individual
ALYNA M DALE
Active
Individual
ALYNA M DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5891
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1118104
NCCPA
—
01
—
PA5891
MA STATE BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS
MA
Enumeration date
04/07/2017
Last updated
03/17/2018
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