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1215987565
DIANE LIST
CARO, MI
NPI
1215987565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301006179)
Enumeration Date
2006-05-10
Last Update Date
2007-10-30
Business Address
-- DIANE LIST PhD, LP
443 N STATE ST
CARO, MI 48723-1539
Phone number: 989-673-5700
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Mailing Address
-- DIANE LIST PhD, LP
467 N STATE ST
CARO, MI 48723-1539
Phone number: 989-672-6160
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