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Individual

GARY DIEHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3410 TAFT BLVD, WICHITA FALLS, TX 76308-2036
(940) 397-6236
(940) 397-6878
Mailing address
3410 TAFT BLVD, WICHITA FALLS, TX 76308-2036
(940) 397-6236
(940) 397-6878

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2570
TX

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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