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1265056170
MARY NICOLE LILLIAN DIEMERT
SANTA MARIA, CA
NPI
1265056170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 60009)
Enumeration Date
2020-06-05
Last Update Date
2023-11-08
Business Address
MARY NICOLE LILLIAN DIEMERT
2342 PROFESSIONAL PKWY STE 200
SANTA MARIA, CA 93455-1690
Phone number: 805-349-9545
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Mailing Address
MARY NICOLE LILLIAN DIEMERT
2342 PROFESSIONAL PKWY STE 200
SANTA MARIA, CA 93455-1690
Phone number: 805-349-9545
Copy
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