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1619116746
KATHY DIANE WALLS
FORT WORTH, TX
NPI
1619116746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 436807)
Enumeration Date
2009-02-12
Last Update Date
2009-02-12
Business Address
-- KATHY DIANE WALLS RN, BSN
1200 COUNTRY CLUB LN
FORT WORTH, TX 76112-2353
Phone number: 817-451-1404
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Mailing Address
-- KATHY DIANE WALLS RN, BSN
1200 COUNTRY CLUB LN
FORT WORTH, TX 76112-2353
Phone number: 817-451-1404
Copy
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