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Individual
MARGUERITE S DEANGELO
Active
Individual
MARGUERITE S DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
11586
CA
363A00000X
Physician Assistant
PA15415
CA
363L00000X
Nurse Practitioner
Primary
11586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70125F
—
CA
Enumeration date
03/20/2007
Last updated
01/24/2012
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