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1124140546
DIANE BARRY HEIDORN
WACO, TX
NPI
1124140546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2007-04-05
Last Update Date
2007-07-08
Business Address
-- DIANE BARRY HEIDORN CTRS
3000 HERRING AVE
WACO, TX 76708-3239
Phone number: 254-202-2503
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Mailing Address
-- DIANE BARRY HEIDORN CTRS
1607 BREEZY DR
WACO, TX 76712-8218
Phone number: 254-420-0149
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