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1316361223
REGINA DIANE CHISUM
GAINESVILLE, TX
NPI
1316361223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TX 736657)
Enumeration Date
2014-02-12
Last Update Date
2014-03-05
Business Address
-- REGINA DIANE CHISUM WHNP-BC
1902 HOSPITAL BLVD STE B
GAINESVILLE, TX 76240-2008
Phone number: 940-665-6679
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Mailing Address
-- REGINA DIANE CHISUM WHNP-BC
1902 HOSPITAL BLVD STE B
GAINESVILLE, TX 76240-2008
Phone number: 940-665-6679
Copy
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