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1861164006
DIANA WEST
DALLAS, TX
NPI
1861164006
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Former Name
DIANA WALLACE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2165417)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
DIANA WEST
14651 DALLAS PKWY STE 200
DALLAS, TX 75254-8856
Phone number: 866-919-3240
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Mailing Address
DIANA WEST
2001 E SPRING CREEK PKWY APT 5107
PLANO, TX 75074-3247
Phone number: 502-554-2366
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