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1124369459
DEHAVEN DIAGNOSTICS, LLC
FORT WORTH, TX
NPI
1124369459
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Entity Type
Organization
Authorized Contact
ROBERT JUDSON BALCH
Physician
817-984-6210
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
DEHAVEN DIAGNOSTICS, LLC
6116 OAKBEND TRL SUITE 106
FORT WORTH, TX 76132-3925
Phone number: 817-984-6210
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Mailing Address
DEHAVEN DIAGNOSTICS, LLC
6116 OAKBEND TRL SUITE 106
FORT WORTH, TX 76132-3925
Phone number: 817-984-6210
Copy
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