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1316957582
MARYETTA DIETZ
AUSTIN, TX
NPI
1316957582
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: TX 760224)
Enumeration Date
2006-08-09
Last Update Date
2013-01-03
Business Address
-- MARYETTA DIETZ CRNP
1600 W 38TH ST SUITE 308
AUSTIN, TX 78731-6400
Phone number: 512-324-3540
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Mailing Address
-- MARYETTA DIETZ CRNP
1400 N IH 35 SUITE 300
AUSTIN, TX 78701-1926
Phone number: 512-324-8300
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