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Individual

DR. DIANE MARIE PALAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
8678
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0RE3179
VT
05
80003179
NH
Enumeration date
06/28/2006
Last updated
08/21/2011
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