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1760601470
DIANE M. BURGESS
IRVING, TX
NPI
1760601470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT014585)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
-- DIANE M. BURGESS CMMP, LMT
1214 W PIONEER DR
IRVING, TX 75061-7308
Phone number: 214-507-1738
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Mailing Address
-- DIANE M. BURGESS CMMP, LMT
2226 DRUID DR
IRVING, TX 75060-5011
Phone number: 214-507-1738
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