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1114156171
DIANE LESLIE THOMPSON
VICTORVILLE, CA
NPI
1114156171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19605)
Enumeration Date
2009-07-10
Last Update Date
2013-10-10
Business Address
-- DIANE LESLIE THOMPSON P.A.
12550 HESPERIA ROAD SUITE 100
VICTORVILLE, CA 92395-0000
Phone number: 760-241-6666
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Mailing Address
-- DIANE LESLIE THOMPSON P.A.
17095 MAIN ST
HESPERIA, CA 92345-0000
Phone number: 760-241-6666
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