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1114569464
DIANA WILCOX
TUMWATER, WA
NPI
1114569464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA AP61376702)
Enumeration Date
2019-10-08
Last Update Date
2024-08-01
Business Address
DIANA WILCOX PMHNP
344 CLEVELAND AVE SE STE H
TUMWATER, WA 98501-3342
Phone number: 360-561-9906
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Mailing Address
DIANA WILCOX PMHNP
344 CLEVELAND AVE SE STE H
TUMWATER, WA 98501-3342
Phone number: 360-489-1438
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