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1952469694
DIANE GAYLE DIEFFENBACH
PROVIDENCE, RI
NPI
1952469694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI 261)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Mrs. DIANE GAYLE DIEFFENBACH PT
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5418
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Mailing Address
Mrs. DIANE GAYLE DIEFFENBACH PT
7 TEAL LN
CUMBERLAND, RI 02864-2724
Phone number: 401-658-1947
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