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1114078847
DIANA LYNN HACKETT
BRIDGEPORT, WV
NPI
1114078847
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Former Name
DIANA L BARBERIO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV 39055)
Enumeration Date
2007-01-16
Last Update Date
2018-05-14
Business Address
DIANA LYNN HACKETT CRNA
2157 GREEN VALLEY RD
BRIDGEPORT, WV 26330
Phone number: 304-699-4103
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Mailing Address
DIANA LYNN HACKETT CRNA
2157 GREEN VALLEY RD
BRIDGEPORT, WV 26330-6983
Phone number: 304-699-4103
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