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1841219318
DIANE E WALLACE
ARLINGTON, TX
NPI
1841219318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: TX DT04296)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- DIANE E WALLACE RD, CDE, RMT
3105 W ARKANSAS LN SUITE B-1
ARLINGTON, TX 76016-5721
Phone number: 817-798-8977
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Mailing Address
-- DIANE E WALLACE RD, CDE, RMT
9109 CHARDIN PARK DR
KELLER, TX 76248-7626
Phone number: 817-798-8977
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