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1962786814
GLORIA X DIENERT
SAN ANGELO, TX
NPI
1962786814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 640822)
Enumeration Date
2011-10-10
Last Update Date
2011-10-10
Business Address
-- GLORIA X DIENERT FNP
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903-5919
Phone number: 325-658-1511
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Mailing Address
-- GLORIA X DIENERT FNP
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-658-1511
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