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1619969805
DIANE D WILSON
WACO, TX
NPI
1619969805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 238832)
Enumeration Date
2005-08-16
Last Update Date
2009-03-09
Business Address
-- DIANE D WILSON CRNA
3000 HERRING AVE
WACO, TX 76708-3239
Phone number: 254-741-1185
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Mailing Address
-- DIANE D WILSON CRNA
3225 WILBANKS DR
WACO, TX 76705-5069
Phone number: 254-875-2089
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