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Individual

DIANE LOUISE DEIGMANN

Active
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Individual

DIANE LOUISE DEIGMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 122795-0
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
479L7CH
BLUE CROSS OF MN
MN
05
954662600
MN
05
959695000
MN
Enumeration date
03/14/2006
Last updated
08/24/2017
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