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Individual

ARLETA DEDIANOUS

Active
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Individual

ARLETA DEDIANOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
209.002443041.253592
IL
363LP0200X
Pediatric Nurse Practitioner
209.002443041.253592
IL

Other

Enumeration date
09/29/2023
Last updated
09/29/2023
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