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Individual

MRS. DEANNA PATRICE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.O.

Contact information

Practice address
212 N MAIN ST, DUNCANVILLE, TX 75116-3649
(972) 298-0018
(972) 298-0019
Mailing address
521 BUFFALO CREEK DR, DESOTO, TX 75115-5329
(972) 230-2959

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1169
TX

Other

Enumeration date
07/09/2008
Last updated
12/11/2008
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