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1417228727
DIANA BANNISTER
DALLAS, TX
NPI
1417228727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX 670576)
Enumeration Date
2012-01-18
Last Update Date
2018-11-19
Business Address
DIANA BANNISTER ACNP
6301 GASTON AVE STE 100W
DALLAS, TX 75214-6273
Phone number: 214-827-3610
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Mailing Address
DIANA BANNISTER ACNP
6301 GASTON AVE STE 100W
DALLAS, TX 75214-6273
Phone number: 214-827-3610
Copy
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