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Individual
MS. MARY ANN DELIBERTO
Active
Individual
MS. MARY ANN DELIBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., A.P.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041197941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720371669
NPI GROUP PRACTICE
IL
01
—
IL6304004
MEDICARE PTAN LOC 16
IL
01
—
IL6305004
MEDICARE PTAN LOC 15
IL
Enumeration date
12/11/2009
Last updated
01/30/2013
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