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Individual
MRS. SELENA LORRAINE DIPAOLO
Active
Individual
MRS. SELENA LORRAINE DIPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP005264B
PA
363LF0000X
Family Nurse Practitioner
VP005264B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513898
—
PA
01
—
50041900
CAPITAL BC
PA
Enumeration date
09/20/2005
Last updated
12/28/2007
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