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1063656056
DIEM THERESE KING
DALLAS, TX
NPI
1063656056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06040)
Enumeration Date
2009-04-22
Last Update Date
2021-01-10
Business Address
Mrs. DIEM THERESE KING PA-C
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-645-2200
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Mailing Address
Mrs. DIEM THERESE KING PA-C
PO BOX 845347
DALLAS, TX 75284-4228
Phone number: 214-689-5960
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