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1982681649
JOHN DALY DIETRICK
WACO, TX
NPI
1982681649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX F3905)
Enumeration Date
2005-12-23
Last Update Date
2013-04-26
Business Address
Dr. JOHN DALY DIETRICK MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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Mailing Address
Dr. JOHN DALY DIETRICK MD
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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