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Individual
DIANA R KOON
Active
Individual
DIANA R KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
563192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151079402
—
TX
05
—
151079403
—
TX
05
—
151079404
—
TX
Enumeration date
04/04/2008
Last updated
04/29/2011
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