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1942690789
DIANE DATZ
ALBUQUERQUE, NM
NPI
1942690789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: NM 4464)
Enumeration Date
2015-02-02
Last Update Date
2017-01-12
Business Address
Miss DIANE DATZ PT, DPT
6330 RIVERSIDE PLAZA LN NW 303
ALBUQUERQUE, NM 87120-2681
Phone number: 505-312-7930
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Mailing Address
Miss DIANE DATZ PT, DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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