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1689667727
DIANE D AVERY
EL PASO, TX
NPI
1689667727
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Former Name
DIANE R PORTWOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 426206)
Enumeration Date
2005-08-24
Last Update Date
2007-07-08
Business Address
-- DIANE D AVERY CRNA
2415 E YANDELL DR STE B
EL PASO, TX 79903-3616
Phone number: 915-577-0030
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Mailing Address
-- DIANE D AVERY CRNA
PO BOX 3899
EL PASO, TX 79923-3899
Phone number: 915-577-0030
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