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Individual

DR. DIVINA ROSARIO SAN DIEGO VERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
511 NE 10TH ST, ABILENE, KS 67410-2153
(785) 263-6684
(785) 263-6803
Mailing address
511 NE 10TH ST, ABILENE, KS 67410-2153
(785) 263-6684
(785) 263-6803

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04-32289
KS
208100000X
Physical Medicine & Rehabilitation Physician
150689
OR
208100000X
Physical Medicine & Rehabilitation Physician
60130112
WA
208100000X
Physical Medicine & Rehabilitation Physician
A74067
CA

Other

Enumeration date
09/11/2006
Last updated
05/01/2013
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