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Individual
MARIAN ELIZABETH MAURIN
Active
Individual
MARIAN ELIZABETH MAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y070R
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/12/2005
Last updated
03/13/2012
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