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1811901887
JON FREDRICK DIETLEIN
GEORGETOWN, TX
NPI
1811901887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: TX H0298)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
-- JON FREDRICK DIETLEIN M.D.
311 RIVER BEND DR
GEORGETOWN, TX 78628-2782
Phone number: 512-931-2255
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Mailing Address
-- JON FREDRICK DIETLEIN M.D.
311 RIVER BEND DR
GEORGETOWN, TX 78628-2782
Phone number: 512-931-2255
Copy
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