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Individual
NANCY A. MARANTO
Active
Individual
NANCY A. MARANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3501002079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322413290
—
MI
01
—
640H279690
BLUE CROSS-BLUE CROSS
—
01
—
NM002079
CHAMPUS-CHAMPUS
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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