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Individual
DONALD S ADEMA
Active
Individual
DONALD S ADEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A6239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX62390
—
CA
01
—
20A6239
LICENSE
CA
01
—
ZZZ48102Z
BLUE SHIELD
CA
Enumeration date
08/30/2006
Last updated
09/06/2012
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