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1013427517
DOMINICA WILHEMINA DIEFFENBACH
PHOENIX, AZ
NPI
1013427517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AZ 1004846)
Enumeration Date
2017-10-10
Last Update Date
2017-10-10
Business Address
DOMINICA WILHEMINA DIEFFENBACH RD
3141 N 3RD AVE
PHOENIX, AZ 85013-4360
Phone number: 602-914-1520
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Mailing Address
DOMINICA WILHEMINA DIEFFENBACH RD
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000
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