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Individual

DIANA L. EAGLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4409 E. INYO ST., MODULAR A, FRESNO, CA 93702
(559) 600-6047
Mailing address
PO BOX 45003, FRESNO, CA 93718-5003
(559) 600-6047

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
770715
CA

Other

Enumeration date
07/08/2016
Last updated
07/08/2016
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