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1790733475
CAROLYN JILL VANDIVER
DESOTO, TX
NPI
1790733475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX K8548)
Enumeration Date
2006-05-04
Last Update Date
2013-03-11
Business Address
-- CAROLYN JILL VANDIVER MD
1750 NORTH HAMPTON ROAD
DESOTO, TX 75115-2306
Phone number: 214-946-4397
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Mailing Address
-- CAROLYN JILL VANDIVER MD
1750 NORTH HAMPTON ROAD
DESOTO, TX 75115-2306
Phone number: 214-946-4397
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