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Individual
MARY ELIZABETH DIAL
Active
Individual
MARY ELIZABETH DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G48638
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49311Y
—
CA
Enumeration date
04/24/2006
Last updated
10/18/2007
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