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1992976047
DIANA GAIL WISCHE
MONTCLAIR, NJ
NPI
1992976047
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Former Name
DIANA G KORN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ 26NJ00226600)
Enumeration Date
2008-03-17
Last Update Date
2014-07-24
Business Address
Mrs. DIANA GAIL WISCHE CRNA
1 BAY AVE
MONTCLAIR, NJ 07042-4837
Phone number: 973-429-6219
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Mailing Address
Mrs. DIANA GAIL WISCHE CRNA
100 ROUTE 59 SUITE 105
SUFFERN, NY 10901-4927
Phone number: 845-357-5775
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