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1508842311
DIANE M ICENOGLE LEUSCHEN
SAN ANTONIO, TX
NPI
1508842311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX J8600)
Enumeration Date
2005-12-22
Last Update Date
2009-10-14
Business Address
Dr. DIANE M ICENOGLE LEUSCHEN M.D.
7400 MERTON MINTER
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
Dr. DIANE M ICENOGLE LEUSCHEN M.D.
7400 MERTON MINTER
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
Copy
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