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Individual
ALLAN O DIEFENDORF
Active
Individual
ALLAN O DIEFENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001934
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23001934
0000000000
IN
Enumeration date
05/05/2009
Last updated
01/29/2014
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