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Individual

GAY MIRIAM CROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A53824
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A538240
CA
01
00A538240 G18
CALOPTIMA
CA
Enumeration date
09/20/2006
Last updated
11/14/2011
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