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Individual
DIANNE GWEN BJARNSON
Active
Individual
DIANNE GWEN BJARNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.E.M.
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
6326927-3400
UT
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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