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Individual
MS. DIANE PEELER THURMAN
Active
Individual
MS. DIANE PEELER THURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5501004949
MI
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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