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1629827407
DIAMOND JAYA WADE KINCADE
FORT WORTH, TX
NPI
1629827407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 1122050)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
DIAMOND JAYA WADE KINCADE RN
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
DIAMOND JAYA WADE KINCADE RN
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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