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1417971037
DIANA M MANCUSO
DOTHAN, AL
NPI
1417971037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 4436)
Enumeration Date
2006-07-27
Last Update Date
2008-09-26
Business Address
-- DIANA M MANCUSO m.d.
4300 W MAIN ST SUITE 16
DOTHAN, AL 36305-1054
Phone number: 334-793-4120
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Mailing Address
-- DIANA M MANCUSO m.d.
4300 W MAIN ST SUITE 16
DOTHAN, AL 36305-1054
Phone number: 334-793-4120
Copy
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