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Individual
DIANNA LYNN MAHONEY
Active
Individual
DIANNA LYNN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27347
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1780614008
—
AZ
05
—
1871523191
—
AZ
05
—
618514
—
AZ
Enumeration date
09/05/2006
Last updated
12/28/2008
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