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1861434987
DIANE N COOK
FORT WORTH, TX
NPI
1861434987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 238293)
Enumeration Date
2006-06-12
Last Update Date
2011-06-23
Business Address
-- DIANE N COOK NP
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
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Mailing Address
-- DIANE N COOK NP
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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