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NPI Profile for DARICE D DWYER in BEMIDJI, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Community Health |
163WC1500X |
| NPI # | 1265766752 |
|
| Status | Active | |
| Credentials | PHN | |
| Entity | Individual | |
| Enumeration date | 09/30/2009 | |
| Last updated | 09/30/2009 - About 17 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DARICE D DWYER
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DARICE D DWYER, PHN