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1124041496
DIANE S GRISAMORE
AUSTIN, TX
NPI
1124041496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 39330)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- DIANE S GRISAMORE PharmD
2901 MONTOPOLIS DR
AUSTIN, TX 78741-6411
Phone number: 512-389-6510
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Mailing Address
-- DIANE S GRISAMORE PharmD
7008 COVERED BRIDGE DR
AUSTIN, TX 78736-3342
Phone number: 512-301-4985
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