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DANA DIESI CRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 19TH ST S # 112, BIRMINGHAM, AL 35233-1926
(337) 316-9823
Mailing address
205 WOOD DUCK DR, LAFAYETTE, LA 70507-4935

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AL

Other

Enumeration date
08/25/2020
Last updated
08/25/2020
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